GARY K SMITH (NPI# 1689898827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689898827 |
Entity Type | Individual |
Full Name | GARY K SMITH |
Practice Address |
775 Prairie Center Dr Eden Prairie MN 55344-7314 |
Mailing Address |
5124 Nicollet Ave Minneapolis MN 55419-2616 |
Practice Telephone | 9529445314 |
Enumeration Date | 2007-04-12 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184254393 | Gary Smith | Counselor | 97 Olde English, Romeoville, IL 60446 | 2020-01-16 |
1366879702 | Gary Stephen Smith | Dentist | 1391 Emerald Cir, Southlake, TX 76092-3305 | 2013-09-30 |
1104127125 | Gary Webster Smith | Dentist | 404 Fifth Ave., Calvert City, KY 42029 | 2010-11-08 |
1578887873 | Gary Lamont Smith | Counselor | 1801 N Tryon St Ste 111, Charlotte, NC 28206-2704 | 2010-03-16 |
1558505610 | Gary Dean Smith | Chiropractor | 1778 Watson St N, Enumclaw, WA 98022-3447 | 2009-04-20 |
1972781466 | Gary Bruce Smith | Counselor | 1218 West Broadway Avenue, Sulphur, OK 73086-4416 | 2008-02-06 |
1639369465 | Gary E.m. Smith | Optometrist | 511 E. Kern Ave., Tulare, CA 93274-4210 | 2007-07-27 |
1639372162 | Gary R Smith | Chiropractor | 74-967 Hwy 111, Indian Wells Chiropractic Clinic, Indian Wells, CA 92210 | 2007-06-11 |
1578614426 | Gary L. Smith | Dentist | 7600 Raytown Road, Suite 102, Raytown, MO 64138-1855 | 2007-01-16 |
1316014582 | Gary Steven Smith | Technician/Technologist | 2400 N Croatan Hwy, Kill Devil Hills, NC 27948-9355 | 2006-11-30 |
Street Address |
775 PRAIRIE CENTER DR |
City | EDEN PRAIRIE |
State | MN |
Zip Code | 55344-7314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245279306 | Peter S. Ames | Physical Therapist | 775 Prairie Center Dr, Suite 250, Eden Prairie, MN 55344-7314 | 2006-06-05 |
1245633585 | Tyler Hanson | Specialist/Technologist | 775 Prairie Center Dr, Eden Prairie, MN 55344-7314 | 2014-10-01 |
1720418544 | Fairview Health Services | Clinic/Center | 775 Prairie Center Dr, Suite 250, Eden Prairie, MN 55344 | 2013-11-14 |
1710293402 | Fairview Clinics | Clinic/Center | 775 Prairie Center Dr, Ste 250, Eden Prairie, MN 55344-7334 | 2010-08-19 |
1053625434 | John A Corbo | Physical Therapist | 775 Prairie Center Dr, 250, Eden Prairie, MN 55344-7314 | 2010-07-28 |
1427291624 | Rebecca Mccathie | Specialist/Technologist | 775 Prairie Center Dr, Suite 250, Eden Prairie, MN 55344-7314 | 2009-04-17 |
1063535110 | David Floyd Winecoff | Physician Assistant | 775 Prairie Center Dr, Suite 250, Eden Prairie, MN 55344-7314 | 2007-04-06 |
1386763886 | Michelle Zenz | Specialist/Technologist | 775 Prairie Center Dr, Suite 250, Eden Prairie, MN 55344-7314 | 2007-03-28 |
1710019583 | Emily June Antony | Specialist/Technologist | 775 Prairie Center Dr, 250, Eden Prairie, MN 55344-7314 | 2007-03-09 |
1043300213 | Paul Julius Solie | Physical Therapist | 775 Prairie Center Dr, #255, Eden Prairie, MN 55344-7314 | 2006-10-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366000572 | Hekima Care Inc. | Case Management | 8725 Columbine Rd Unit 46026, Eden Prairie, MN 55344 | 2019-06-03 |
1528537768 | Smile Eden Prairie | Dentist | 6600 City W. Pkwy #315, Eden Prairie, MN 55344 | 2018-11-16 |
1215439781 | Angelo Scherer | Counselor | 11010 Prairie Lakes Drive Suite 350, Eden Prairie, MN 55344 | 2018-03-01 |
1497272678 | Matthew Lynn | Occupational Therapist | 431 Prairie Center Drive, Eden Prairie, MN 55344 | 2017-08-28 |
1184178956 | Eric R Barrett | Audiologist | Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 | 2016-08-10 |
1609218676 | Nations Care Link | Nurse Practitioner | 11000 Praire Lakes Dr, Suite 600, Eden Praire, MN 55344 | 2013-07-19 |
1497020390 | Alixa Rx LLC | Pharmacy | 10132 West 76th St, Eden Prairie, MN 55344 | 2012-03-12 |
1831467331 | Eagle Ridge Academy | Local Education Agency (LEA) | 7255 Flying Cloud Drive, Eden Prairie, MN 55344 | 2011-12-12 |
1205154739 | Eden Prairie School District 272 | Local Education Agency (LEA) | 8100 School Road, Eden Prairie, MN 55344 | 2010-05-07 |
1992030613 | Spinal Health | Chiropractor | 12100 Singletree Ln #129, Eden Prairie, MN 55344 | 2009-10-14 |
Find all providers in zip 55344 |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689159246 | Sarah Verdoorn | Specialist/Technologist | 8722 Big Woods Ln, Eden Prairie, MN 55347-5345 | 2018-09-30 |
1467957969 | Andrea Colford | Specialist/Technologist | 10422 W Riverview Dr, Eden Prairie, MN 55347-4919 | 2018-03-27 |
1225447113 | Abby Johnson | Specialist/Technologist | 16550 W 78th Street, Suite B, Eden Prairie, MN 55346 | 2014-08-05 |
1952839235 | Brittany Fedor | Specialist/Technologist | 12982 Valley View Rd, Eden Prairie, MN 55344-3657 | 2017-05-31 |
1770930018 | Lionel Wayne Rice Jr. | Specialist/Technologist | 9520 Viking Dr, Eden Prairie, MN 55344-3825 | 2016-05-17 |
1245633585 | Tyler Hanson | Specialist/Technologist | 775 Prairie Center Dr, Eden Prairie, MN 55344-7314 | 2014-10-01 |
1407265747 | Britany Schulz | Specialist/Technologist | 16550 W 78th St Ste B, Eden Prairie, MN 55346-4316 | 2014-08-12 |
1871933150 | Andrew Ernst | Specialist/Technologist | 16550 W 78th St, Suite B, Eden Prairie, MN 55346-4315 | 2013-07-01 |
1427291624 | Rebecca Mccathie | Specialist/Technologist | 775 Prairie Center Dr, Suite 250, Eden Prairie, MN 55344-7314 | 2009-04-17 |
1386763886 | Michelle Zenz | Specialist/Technologist | 775 Prairie Center Dr, Suite 250, Eden Prairie, MN 55344-7314 | 2007-03-28 |
Find all providers in EDEN PRAIRIE |
City | EDEN PRAIRIE |
Zip Code | 55344 |
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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.