KRISTOPHER SMITH (NPI# 1619418340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619418340 |
| Entity Type | Individual |
| Full Name | KRISTOPHER SMITH |
| Credential | PA-C |
| Practice Address |
6040 University Town Centre Dr Morgantown WV 26501-2421 |
| Practice Telephone | 3042936307 |
| Mailing Telephone | 3042936307 |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2042 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053781864 | Kristopher Smith | Counselor | 65 North Highway 101, Suite 204, Warrenton, OR 97146 | 2015-10-06 |
| 1538570791 | Kristopher Smith | Counselor | 1825 E Broadway St, Forrest City, AR 72335-3409 | 2014-05-09 |
| 1417227430 | Kristopher Smith | Registered Nurse | 85 Metro Park, Rochester, NY 14623-2607 | 2012-01-06 |
| 1588951446 | Kristopher R. Smith | Dentist | 8301 E Prentice Ave Ste 215, Greenwood Village, CO 80111-2990 | 2011-06-29 |
| Street Address |
6040 UNIVERSITY TOWN CENTRE DR |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26501-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275503229 | Lekha S. Hota | Obstetrics & Gynecology | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2006-01-24 |
| 1417565227 | Michelle Renee Borland | Nurse Practitioner | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2020-07-17 |
| 1700407608 | Angela Lynn Goodhart | Pharmacist | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2020-05-01 |
| 1982231049 | Florette Kapinga Tshiaba | Student in an Organized Health Care Education/Training Program | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2020-03-26 |
| 1245867399 | Delaney Aliece Wagener | Student in an Organized Health Care Education/Training Program | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2020-03-26 |
| 1285261081 | Samuel Pilla | Student in an Organized Health Care Education/Training Program | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2020-03-24 |
| 1366078255 | Samantha Rae Nibert | Student in an Organized Health Care Education/Training Program | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2020-03-23 |
| 1336775253 | Colin Winkie | Student in an Organized Health Care Education/Training Program | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2020-03-23 |
| 1992331896 | Eric Dylan Saunders | Student in an Organized Health Care Education/Training Program | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2020-03-23 |
| 1639705650 | Trevor Gregory Aldred | Student in an Organized Health Care Education/Training Program | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2020-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528718 | Billie Jane Shrout | Technician | #4 Ami Dr, Morgantown, WV 26501 | 2020-11-02 |
| 1932668852 | Donald Brubaker | Student in an Organized Health Care Education/Training Program | Wvu Medicine, University Town Centre, 6040 University Town Centre Drive, Morgantown, WV 26501 | 2019-03-19 |
| 1194280446 | Braeden Chase Carroll | Specialist/Technologist | 636 Madison Ave, Morgantown, WV 26501 | 2019-01-31 |
| 1629541545 | Key Learning Autism Center Inc | Community/Behavioral Health | Mountaineer Mall, 5000 Greenbag Road Space A-1, Morgantown, WV 26501 | 2019-01-03 |
| 1922575463 | Heather Lynne Oneal | Midwife | 864 Vandalia Rd, Morgantown, WV 26501 | 2018-11-01 |
| 1609252634 | Nathan Robert Tomasik | Physical Therapist | 746 Fairmont Road, Westover, WV 26501 | 2015-07-31 |
| 1174922462 | Shelly Cummings | Nurse Practitioner | 5000 Greenbag Rd Ste E08, Morgantown, WV 26501 | 2014-08-22 |
| 1841609419 | Christine A Sutch | Family Medicine | 6040 University Town Center, Morgantown, WV 26501 | 2014-08-08 |
| 1073808432 | Megan B Darrah | Occupational Therapist | 6 Edwin Street, Morgantown, WV 26501 | 2011-06-14 |
| 1831325729 | Carol M. Kisner Mcgraw | Occupational Therapist | 26 Commerce Drive, Westover, WV 26501 | 2009-06-05 |
| Find all providers in zip 26501 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922638824 | Sara B Johnson | Physician Assistant | 1000 Mon Health Medical Park Dr Ste 1100, Morgantown, WV 26505-1143 | 2020-01-19 |
| 1013081553 | Christen L Jordan | Physician Assistant | 1 Medical Center Driive, Morgantown, WV 26506 | 2006-11-17 |
| 1134726334 | Anna Elizabeth Warfiled | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-01 |
| 1184146250 | Haley Summerfield | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-07-11 |
| 1619408473 | Zachary Kent Douglas | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-03-23 |
| 1306388350 | Lance Bryson | Physician Assistant | 1000 J D Anderson Dr, Suite 401, Morgantown, WV 26505-1241 | 2016-11-08 |
| 1518415843 | Anne Mittal | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2016-09-15 |
| 1003362393 | Hangyu Watson | Physician Assistant | 1 Medical Center Drive, Morgantown, WV 26506-1200 | 2016-08-28 |
| 1881046399 | Michele Vidulich | Physician Assistant | 1 Medical Center Drive, Morgantown, WV 26506 | 2016-07-08 |
| 1396191771 | Mary Stunja Revers | Physician Assistant | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2016-05-04 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26501 |
Please comment or provide details below to improve the information on KRISTOPHER SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.