DR. ANDREW JK SMITH III (NPI# 1699725101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699725101 |
| Entity Type | Individual |
| Full Name | DR. ANDREW JK SMITH III |
| Credential | MD |
| Practice Address |
3800 Park Nicollet Blvd Credentialing Dept St Louis Park MN 55416-2527 |
| Practice Telephone | 9529936450 |
| Mailing Telephone | 9529936450 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2012-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 41532 | MN | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
41532 | MN | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
44553 | CO | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
41532 | MN | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
44553 | CO | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
44553 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 72735759 | 05 | |
| CO | KAISER COMMERCIAL NUMBER | 019391 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259315 | Andrew E Smith | Speech-Language Pathologist | 145 S Central Ave, Columbus, OH 43222-1324 | 2020-09-15 |
| 1730710781 | Andrew Bodkin Smith | Registered Nurse | 550 Orchard Park Rd Ste B103, West Seneca, NY 14224-2655 | 2020-01-29 |
| 1831656065 | Andrew Robert Smith | Specialist/Technologist | 1001 Uta Blvd Apt 128c, Arlington, TX 76013-6937 | 2019-02-24 |
| 1689138273 | Andrew Dylan Smith | Student in an Organized Health Care Education/Training Program | 3900 Yorktowne Blvd Apt 4801, Port Orange, FL 32129-6033 | 2019-01-28 |
| 1619459385 | Andrew Jay Smith | Massage Therapist | 369 Rutland Rd Apt 2l, Brooklyn, NY 11225-5577 | 2018-08-29 |
| 1588153845 | Andrew Michael Smith | Student in an Organized Health Care Education/Training Program | 462 Grider Street 206 Dk Miller Building, Erie County, Buffalo, NY 14215 | 2018-05-02 |
| 1013427277 | Andrew Smith | Case Manager/Care Coordinator | 8430 Gibbs Pl, Philadelphia, PA 19153-1909 | 2017-10-02 |
| 1144778630 | Andrew Smith | Nurse Anesthetist, Certified Registered | 622 West 168th Street, New York, NY 10032 | 2016-09-14 |
| 1891158762 | Andrew W Smith | Student in an Organized Health Care Education/Training Program | 827 22nd St Sw, Puyallup, WA 98371-8701 | 2016-03-29 |
| 1710379987 | Andrew Smith | Licensed Practical Nurse | 1466 E 45th St, Brooklyn, NY 11234-3004 | 2015-02-25 |
| Street Address |
3800 PARK NICOLLET BLVD CREDENTIALING DEPT |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497745 | Mary C Fields | Psychiatry & Neurology | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-06-16 |
| 1316552383 | Emily Elizabeth Morimoto | Psychologist | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2020-09-15 |
| 1245862846 | Caara Hirsch Leintz | Physician Assistant | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2020-02-11 |
| 1477102770 | Kyja Foster | Counselor | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-09-09 |
| 1750938411 | Abigale Jayne Harris | Social Worker | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-08-19 |
| 1912552076 | Michael Patrick Miller | Dietitian, Registered | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-08-06 |
| 1083277743 | Jessica B Arndt | Social Worker | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-04-18 |
| 1043785157 | Jerry L Juhl | Physical Therapist | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2018-10-05 |
| 1437624558 | Chandler Elise Domian Ommen | Occupational Therapist | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2018-10-04 |
| 1861977472 | Sarah Ruth Tupper | Nurse Practitioner | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2018-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1538573969 | Naeem Moulki | Internal Medicine | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2014-06-13 |
| 1871911768 | Christopher Reiff | Internal Medicine | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2014-03-28 |
| 1063568319 | Daniel Satran | Internal Medicine | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2007-01-26 |
| 1376573436 | Charles Lamont Pinkerman | Internal Medicine | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2006-07-04 |
| 1285683557 | Aimee E Johnson | Internal Medicine | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2006-05-06 |
| 1730151424 | Soma Sen | Internal Medicine | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2006-02-06 |
| 1881672715 | Vincent R Collins | Internal Medicine | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2005-12-30 |
| 1780661744 | George Strauss | Internal Medicine | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2005-12-29 |
| 1124005186 | Leonard Nordstrom Jr. | Internal Medicine | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2005-12-29 |
| 1003893520 | Jeffrey J Shultz | Internal Medicine | 6500 Excelsior Blvd, Park Nicollet Clinic - Heart & Vascular Center, St Louis Park, MN 55426-4702 | 2005-12-27 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
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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.