DR. JEANENE GABRIEL SMITH (NPI# 1659628857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659628857 |
| Entity Type | Individual |
| Full Name | DR. JEANENE GABRIEL SMITH |
| Other Name | DR. JEANENE HILLARY GABRIEL |
| Credential | M.D. |
| Practice Address |
106 Vision Park Blvd Shenandoah TX 77384-3000 |
| Mailing Address |
11511 Shadow Creek Pkwy Pearland TX 77584-7298 |
| Practice Telephone | 7134421800 |
| Mailing Telephone | 7134420000 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2016-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | P8082 | TX | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | P8082 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 356677001 | 05 | |
| TX | 356677002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295155489 | Jeanene Smith | Counselor | 2808 N Robinson Ave, Oklahoma City, OK 73103-4121 | 2014-04-26 |
| 1184959363 | Jeanene Lea Smith | Counselor | 1000 Westbank Dr, Bldg 5a Suite 110, West Lake Hills, TX 78746-6598 | 2009-10-06 |
| 1033127550 | Jeanene Ann Smith | Family Medicine | 3930 Se Division St, Portland, OR 97202-1643 | 2006-08-03 |
| Street Address |
106 VISION PARK BLVD |
| City | SHENANDOAH |
| State | TX |
| Zip Code | 77384-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437143518 | Robert Lee Cook | Surgery | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 | 2005-09-06 |
| 1457969503 | Renee Grubbs | Dietitian, Registered | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 | 2020-07-15 |
| 1225547219 | Brittany Marie Taylor Watson | Physician Assistant | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 | 2017-09-22 |
| 1679928089 | Vinh Huu Dang | Family Medicine | 106 Vision Park Blvd, Shenandoah, TX 77384 | 2016-05-04 |
| 1477935930 | Kathe Boarman | Pharmacist | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 | 2015-06-22 |
| 1679953970 | Krista Mccorvey | Dietitian, Registered | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 | 2015-06-02 |
| 1164818860 | Kelsey Ann Shanahan-prendergast | Internal Medicine | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 | 2015-04-09 |
| 1912393752 | Christopher Hobaugh | Urology | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 | 2015-04-08 |
| 1437552924 | Tamikiia A Brown | Nurse Practitioner | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 | 2014-09-29 |
| 1669888517 | Kristen A Garner | Physician Assistant | 106 Vision Park Blvd, Shenandoah, TX 77384 | 2014-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104381441 | Reshanda Baudy | Registered Nurse | 2477 F.m. 1488 Rd, 536, Conroe, TX 77384 | 2019-01-31 |
| 1841768447 | Alina Nichole Smith | Physical Therapist | Texas Children's Hospital - The Woodlands, 17580 Interstate 45 South, The Woodlands, TX 77384 | 2018-11-13 |
| 1952878472 | Courtney Nicole Jersey | Physician Assistant | 17600 I-45 South, Conroe, TX 77384 | 2018-11-02 |
| 1558851394 | Woodlands Integrative Care Hospital | Psychiatric Hospital | 1006 Windsor Lake Blvd., Suite 200, Conroe, TX 77384 | 2018-05-17 |
| 1326570334 | Surgeons Assistant Rita Yamel David Inc | Specialist/Technologist, Other | 3720 College Park Dr # 6304, Conroe, TX 77384 | 2017-03-29 |
| 1316483191 | Jason Cazares | Specialist/Technologist | 17450 St. Luke's Way, Medical Arts Center IIi, #350, The Woodlands, TX 77384 | 2017-01-17 |
| 1023564325 | 1488 Family Medicine Group, Pllc | Clinic/Center | 2400 Fm 1488, Suite 400, Conroe, TX 77384 | 2016-08-28 |
| 1740641976 | Signature Smiles Woodlands, Pllc | Clinic/Center | 2400 Fm 1488 Suite 200, Conroe, TX 77384 | 2016-03-16 |
| 1427397256 | David William White | Dentist | 3600 Farm To Market Rd 1488 #90, Conroe, TX 77384 | 2013-02-14 |
| 1740549542 | North Woods Family Medicine Pllc | Family Medicine | 17350 St.luke's Way, Suite 350, The Woodlands, TX 77384 | 2012-05-14 |
| Find all providers in zip 77384 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1639527732 | Sehar Khateeb | Internal Medicine | 9250 Pinecroft Dr Ste N2.101, Shenandoah, TX 77380-3218 | 2016-05-31 |
| 1053687970 | Holly Bentz Smith | Internal Medicine | 17183 I H 45 S Ste 530, Shenandoah, TX 77385 | 2012-03-25 |
| 1629367602 | Patrick Toluwatele Ogidan | Internal Medicine | 9201 Pinecroft Dr Fl 2, Shenandoah, TX 77380-3889 | 2011-03-30 |
| 1992930929 | Madhavi Machineni | Internal Medicine | 150 Pine Forest Dr Ste 602, Shenandoah, TX 77384 | 2009-05-20 |
| 1518135821 | Rajesh Venkataraman | Internal Medicine | 17183 I H 45 S Ste 650, Shenandoah, TX 77385-3316 | 2008-02-20 |
| 1063621175 | Shivani M Toma | Internal Medicine | 17183 I 45 S Ste 570, Shenandoah, TX 77385-3312 | 2007-05-22 |
| 1063561041 | Main Street Medical Center Inc | Internal Medicine | 24 South Main Street, Shenandoah, PA 17976 | 2007-01-09 |
| 1245269547 | Eric Evan Petterson | Internal Medicine | 4 W Washington St, Shenandoah, PA 17976-1707 | 2006-07-01 |
| 1528043676 | Frederick I Njuki | Internal Medicine | 286 Ed English Dr Ste B, Shenandoah, TX 77385-8034 | 2005-12-13 |
| 1043201015 | Paula D. Ryan | Internal Medicine | 9200 Pinecroft Dr Ste 450, Shenandoah, TX 77380-3280 | 2005-10-31 |
| Find all providers in SHENANDOAH | ||||
| City | SHENANDOAH |
| Zip Code | 77384 |
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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.