MR. LOUIS MICHAEL SMITH (NPI# 1669898474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669898474 |
| Entity Type | Individual |
| Full Name | MR. LOUIS MICHAEL SMITH |
| Credential | PA-C |
| Practice Address |
22301 W Alsop Rd Wasilla AK 99623-5023 |
| Practice Telephone | 9078648100 |
| Mailing Telephone | 9078648100 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2019-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1182 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2321 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1613061 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841274859 | Louis Ronald Smith | Dentist | 42707 N Ridge Rd, Elyria, OH 44035-1054 | 2005-12-02 |
| 1871068692 | Louis Smith | Behavior Technician | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2018-10-08 |
| 1982901864 | Louis Smith | Community Health Worker | 2100 Comer Ave, Columbus, GA 31904-8725 | 2011-02-11 |
| 1316123136 | Louis Oscar Smith IIi | Radiology | 110 Irving St Nw, Ba94, Washington, DC 20010-3017 | 2008-01-10 |
| 1205938123 | Louis Voigt Smith Jr. | Physical Therapist | 1446 1st Avenue, Woodruff, WI 54568 | 2006-09-01 |
| 1679519292 | Louis A Smith | Internal Medicine | 9333 Park West Blvd, Knoxville, TN 37923-4341 | 2006-06-21 |
| Street Address |
22301 W ALSOP RD |
| City | WASILLA |
| State | AK |
| Zip Code | 99623-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043738461 | Nathan Fitzgerald | Physician Assistant | 22301 W Alsop Rd, Wasilla, AK 99623-5023 | 2017-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104723 | Lisa Newell | Home Health Aide | 7945 S. Settlers Bay Dr, Wasilla, AK 99623 | 2020-01-28 |
| 1780238014 | Bradley Duke Ischinger | Physical Therapy Assistant | 6701 Blondell Drive, Wasilla, AK 99623 | 2019-07-25 |
| 1508423625 | Ramon Ortiz | Counselor | 3940 N. El Taino Circle, Wasilla, AK 99623 | 2019-05-23 |
| 1689239782 | Kristine Ione Bayne | Counselor | 2651 N. Thordore Dr, Wasilla, AK 99623 | 2019-05-03 |
| 1801450382 | Desiree Feringa | Case Manager/Care Coordinator | 6640 S Calista Drive, Wasilla, AK 99623 | 2019-04-30 |
| 1861966269 | Tina Renee Hopkins | Assisted Living Facility | 3471 W Wren St, Wasilla, AK 99623 | 2019-01-18 |
| 1801382981 | Jaimie M Church | Social Worker | 6100 W Robin Hood Lane, Wasilla, AK 99623 | 2018-07-02 |
| 1861935975 | Mat-su Valley IIi LLC | Clinic/Center | 5851 South Knik-goose Bay Road, Wasilla, AK 99623 | 2016-11-21 |
| 1972980639 | Jesika Harrell | Physician Assistant | 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 | 2015-05-01 |
| 1497175418 | Mark Hull | Contractor | 1465 N Meadow Lakes Loop, Wasilla, AK 99623 | 2014-04-17 |
| Find all providers in zip 99623 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549098 | Craig Michael Brumagin | Physician Assistant | 4961 E Mayflower Ln, Wasilla, AK 99654-7708 | 2019-10-10 |
| 1528503687 | Northwoods Family Medicine, Inc | Physician Assistant | 1301 E. Palmer-wasilla Hwy, #400, Wasilla, AK 99654 | 2016-12-28 |
| 1083701858 | Gerald Edward Manning II | Physician Assistant | 5050 Dunbar, Suite D, Wasilla, AL 99654 | 2006-10-05 |
| 1427049238 | Scott William Schafer | Physician Assistant | 3066 E Meridian Park Loop, Capstone Urgent Care, Wasilla, AK 99654-7372 | 2005-11-01 |
| 1043738461 | Nathan Fitzgerald | Physician Assistant | 22301 W Alsop Rd, Wasilla, AK 99623-5023 | 2017-09-06 |
| 1194119313 | Adrian Kristin Giani | Physician Assistant | 1700 E Bogard Rd Ste 102, Wasilla, AK 99654-6563 | 2015-03-25 |
| 1629461488 | David Arthur | Physician Assistant | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2015-03-17 |
| 1922498781 | Matthew Loudon | Physician Assistant | 3331 E Meridian Park Loop, Wasilla, AK 99654-7294 | 2015-02-02 |
| 1548426471 | Leah M Bramer | Physician Assistant | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2008-07-30 |
| 1669552550 | John Wayne Moore | Physician Assistant | 950 Bogard Rd, Suite 233, Wasilla, AK 99654-7105 | 2006-10-16 |
| Find all providers in WASILLA | ||||
Please comment or provide details below to improve the information on MR. LOUIS MICHAEL 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.