THOMAS J SMITH (NPI# 1649273400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649273400 |
| Entity Type | Individual |
| Full Name | THOMAS J SMITH |
| Credential | MD |
| Practice Address |
2020 Riverside Dr Suite 200 Green Bay WI 54301-2300 |
| Practice Telephone | 9204339920 |
| Practice Fax Number | 9204339927 |
| Mailing Telephone | 9204339920 |
| Mailing Fax Number | 9204339927 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2007-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
32954 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31697800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566142 | Thomas J Smith | Nurse Practitioner | 803 Rena St, Kirksville, MO 63501-2012 | 2020-07-28 |
| 1396379962 | Thomas Thornsberry Smith | Marriage & Family Therapist | 306 Wells Ave S Unit D, Renton, WA 98057-2786 | 2020-02-23 |
| 1205470176 | Thomas Anderson Smith | Psychologist | 491 Allendale Rd Ste 320, King of Prussia, PA 19406-1432 | 2019-11-04 |
| 1407320120 | Thomas B Smith | Non-emergency Medical Transport (VAN) | 2000 Abbott Cv, Cordova, TN 38016-3526 | 2019-01-15 |
| 1952802357 | Thomas Lloyd Smith Jr. | Contractor | 12291 Commonwealth Avenue, Exmore, VA 23350-1371 | 2018-02-22 |
| 1730614553 | Thomas E Smith | Social Worker | 2940 E Park Ave, Suite 1a, Tallahassee, FL 32301-3446 | 2017-04-30 |
| 1417292749 | Thomas Anson Smith | Ophthalmology | 9830 Lakeshore, West Olive, MI 49460-9553 | 2012-11-27 |
| 1710230750 | Thomas Joseph Smith | Pharmacist | W166n10560 Surrey Dr, Germantown, WI 53022-3948 | 2012-10-15 |
| 1679724280 | Thomas Seldon Smith Jr. | Dentist | 130 Us Hwy 64e, Laurel Terrace Unit 12, Cashiers, NC 28717-0451 | 2008-10-02 |
| 1144488057 | Thomas A Smith | Specialist | 10447 Hart Branch Cir, Orlando, FL 32832-5915 | 2008-05-28 |
| Street Address |
2020 RIVERSIDE DR SUITE 200 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821417692 | Baycare Clinic LLP | Durable Medical Equipment & Medical Supplies | 2020 Riverside Dr, Green Bay, WI 54301-2389 | 2014-04-09 |
| 1558612028 | Neuropsychology of Green Bay Ltd | Clinical Neuropsychologist | 2020 Riverside Dr, Suite 102, Green Bay, WI 54301-2300 | 2012-09-25 |
| 1720397490 | Access Prosthetics LLC | Prosthetic/Orthotic Supplier | 2020 Riverside Dr, 3rd Floor, Green Bay, WI 54301-2300 | 2010-09-29 |
| 1144224619 | Steven E Neu | Internal Medicine | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 | 2005-06-13 |
| 1447253299 | Anupama Verma | Internal Medicine | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 | 2005-05-24 |
| 1871596627 | David J Palubiak | Internal Medicine | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 | 2005-05-24 |
| 1841293800 | Bay Area Nephrology S.c. | Internal Medicine | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 | 2005-05-24 |
| 1508869587 | John M Lawton | Internal Medicine | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114144466 | Chitra Sadasiwan Bhosekar | Internal Medicine | 2020 Riverside Dr Ste 200, Green Bay, WI 54301-2300 | 2007-04-19 |
| 1700803541 | Qamaruddin Qazi | Internal Medicine | 2845 Greenbrier Rd, 1st Floor, Green Bay, WI 54311-6519 | 2006-07-17 |
| 1144224619 | Steven E Neu | Internal Medicine | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 | 2005-06-13 |
| 1447253299 | Anupama Verma | Internal Medicine | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 | 2005-05-24 |
| 1871596627 | David J Palubiak | Internal Medicine | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 | 2005-05-24 |
| 1841293800 | Bay Area Nephrology S.c. | Internal Medicine | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 | 2005-05-24 |
| 1508869587 | John M Lawton | Internal Medicine | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841823390 | Kelby Roholt | Internal Medicine | 305 E Mahn Ct, Oak Creek, WI 53154-2101 | 2020-02-12 |
| 1477186922 | Sydney Kemps | Internal Medicine | 507 N 17th St, Milwaukee, WI 53233-5495 | 2020-02-12 |
| 1053708511 | Rishi Kora | Internal Medicine | 5650 N Green Bay Ave Ste 210, Glendale, WI 53209-4447 | 2015-04-22 |
| 1841523818 | Sana Waheed | Internal Medicine | 301 S Yellowstone Dr Apt 306, Madison, WI 53705-4378 | 2009-09-09 |
| 1841426798 | Wisconsin Vascular Access and Nephrology | Internal Medicine | 1962 N Prospect Ave # 310, Milwaukee, WI 53202-1414 | 2009-06-05 |
| 1184865099 | Zurab Albekioni | Internal Medicine | 3000 Westhill Dr Ste 108, Wausau, WI 54401-3795 | 2009-03-23 |
| 1104095017 | Mark Y Nunag | Internal Medicine | 2050 Continential Drive, West Bend, WI 53095 | 2008-02-25 |
| 1649448259 | Crystalkinetics, LLC | Internal Medicine | 4113 N Lake Dr, Shorewood, WI 53211-1720 | 2008-02-16 |
| 1699975193 | Dawn Wolfgram | Internal Medicine | 5000 W National Ave # Cc-111k, Milwaukee, WI 53295-1000 | 2007-07-23 |
| 1366657710 | Deepak Sharma | Internal Medicine | 7797 W Appletone Ave, Milwaukee, WI 53222 | 2007-05-11 |
| Find all providers with the same taxonomy | ||||
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| 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.