JACK SMITH (NPI# 1669885687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669885687 |
| Entity Type | Individual |
| Full Name | JACK SMITH |
| Practice Address |
933 Sw 3rd St Moore OK 73160-2261 |
| Practice Telephone | 4058221424 |
| Mailing Telephone | 4058221424 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659450773 | Jack Steven Smith | Chiropractor | 1815 W Missouri Ave Ste 102, Phoenix, AZ 85015-3047 | 2006-11-02 |
| 1043248818 | Jack Dale Smith | Urology | 1321 Cottonwood St, Suite 302, Woodland, CA 95695-5131 | 2006-06-29 |
| 1528036704 | Jack Bradley Smith | Physician Assistant | 4401 W Memorial Rd, Oklahoma City, OK 73134-1785 | 2006-03-14 |
| 1538133426 | Jack Dempsey Smith | Dentist | 2919 Colony Rd, Durham, NC 27705-5595 | 2006-02-15 |
| 1891780581 | Jack D Smith | Specialist | 133 Donohoe Rd, Greensburg, PA 15601-6986 | 2005-09-19 |
| 1346687720 | Jack Michael Smith | Physical Medicine & Rehabilitation | 1100 Grampian Blvd, Williamsport, PA 17701 | 2013-05-26 |
| 1952593691 | Jack W. Smith | Family Medicine | 5111 Leesburg Pike, Skyline 5, Suite 601, Falls Church, VA 22041-3251 | 2007-08-16 |
| 1710191564 | Jack Smith | Counselor | 15040 S Ravinia Ave Ste 44, Orland Park, IL 60462-3173 | 2007-05-10 |
| 1356489462 | Jack Brian Smith | Dentist | 160 Three Rivers Dr Ne, Ste. 1600, Rome, GA 30161-2303 | 2007-02-01 |
| 1871538041 | Jack Coldwell Smith IIi | Internal Medicine | 409 Cottage Rd, Carthage, TX 75633-1466 | 2006-06-19 |
| Street Address |
933 SW 3RD ST |
| City | MOORE |
| State | OK |
| Zip Code | 73160-2261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356846125 | Stephanie Mcgregor | Social Worker | 604 Ne 21st St, Moore, OK 73160-5630 | 2018-03-26 |
| 1548626534 | Derek Edward Stewart | Social Worker | 443 Rexford Drive, Moore, SC 29369 | 2016-01-07 |
| 1740616630 | Hope Elizabeth Eaton | Social Worker | 531 Sw 3rd St, Moore, OK 73160-4911 | 2013-09-24 |
| 1639503097 | Ella Sue Kendrick | Social Worker | 927 Ne 27th St, Moore, OK 73160-8903 | 2013-08-21 |
| 1093148546 | Cynthia Ann Roland | Social Worker | 525 E Main St Apt 230, Moore, OK 73160-5957 | 2013-08-19 |
| 1558704197 | Tawni Boudreau Mckeon | Social Worker | 1041 Nw 24th St, Moore, OK 73160-1123 | 2013-04-13 |
| 1518220110 | Michelle Irene Angelique Jonas | Social Worker | 1413 N Lincoln Ave, Moore, OK 73160-6517 | 2012-06-19 |
| 1619240314 | Lindsay Lea James | Social Worker | 1415 Sw 25th St, Moore, OK 73170-7554 | 2012-02-12 |
| 1205008620 | Stephanie Lynn Brown | Social Worker | 1008 Cottonwood Dr, Moore, OK 73160-8369 | 2008-03-25 |
| 1427544899 | Amber Fields | Social Worker | 201 N Broadway St, Moore, OK 73160-5135 | 2018-07-09 |
| Find all providers in MOORE | ||||
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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.