PETER J SMITH (NPI# 1710152962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710152962 |
| Entity Type | Individual |
| Full Name | PETER J SMITH |
| Credential | PA-C |
| Practice Address |
5715 Kittery Dr Siute B Colorado Springs CO 80911-3552 |
| Mailing Address |
5715 Kittery Dr Colorado Springs CO 80911-3551 |
| Practice Telephone | 7193923883 |
| Practice Fax Number | 7193907030 |
| Mailing Telephone | 7193923883 |
| Mailing Fax Number | 7193907030 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 616 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878232 | Peter Thomas Curry Smith | In Home Supportive Care | 18679 Baker Rd, Mount Vernon, OH 43050-9586 | 2020-10-15 |
| 1386116663 | Peter Smith | Physical Therapist | 1450 E Fairview Ave Ste 201, Meridian, ID 83642-1819 | 2018-12-26 |
| 1407360258 | Peter Smith | Specialist/Technologist | 415 Center St, Bridgewater, MA 02324-1309 | 2017-11-30 |
| 1851784839 | Peter Allen Smith | Counselor | 2240 N Hwy 89, Suite C, Harrisville, UT 84404-2675 | 2015-03-14 |
| 1356782072 | Peter Michael Smith | Physician Assistant | 282 Cabrini Blvd, Apt. 2g, New York, NY 10040-3618 | 2013-07-10 |
| 1861837700 | Peter Smith | Physical Therapist | 1121 Fairfield Ave, Eugene, OR 97402-2026 | 2013-05-06 |
| 1508136706 | Peter J. Smith | Marriage & Family Therapist | 332 Redwood Ave, Willits, CA 95490-3333 | 2012-01-04 |
| 1568695344 | Peter John Smith I | Physical Therapist | 167 Fairharbor Dr, Patchogue, NY 11772-3335 | 2009-08-27 |
| 1285849778 | Peter Jordan Smith | Acupuncturist | 826 Shattuck Ave, Berkeley, CA 94707-2020 | 2007-05-10 |
| 1073736070 | Peter N Smith | Dentist | 503 E 770 N, Orem, UT 84097 | 2007-04-10 |
| Street Address |
5715 KITTERY DR SIUTE B |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80911-3552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639609894 | Dynamic Family Medicine Pllc | Family Medicine | 5715 Kittery Dr, Colorado Springs, CO 80911-3551 | 2017-06-19 |
| 1912212093 | Jeremy Ronald Brown | Family Medicine | 5715 Kittery Dr, Colorado Springs, CO 80911-3551 | 2010-08-12 |
| 1417112848 | Carissa Dawn Benedict | Physician Assistant | 5715 Kittery Dr, Suite A, Colorado Springs, CO 80911-3551 | 2008-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740759208 | Jeremy Jorge Madrid Jr. | Specialist/Technologist | 7465 Dove Ceek Circle, Colorado Springs, CO 80911 | 2018-11-14 |
| 1033403472 | Ruth Schroeter Tate | Pharmacist | 6925 Fountain Mesa Rd, Fountain, CO 80911 | 2011-06-02 |
| 1053654319 | Center Pointe Family Medicine LLC | Family Medicine | 47 Widefield Blvd, Colorado Springs, CO 80911 | 2013-04-04 |
| 1194034314 | Ammon Jacobson | Chiropractor | 1825 Main St Ste C, Colorado Springs, CO 80911 | 2010-10-05 |
| 1801035639 | Catherine Jane Bottorff | Physical Therapist | 328 Main Street, Colorado Springs, CO 80911 | 2009-02-18 |
| 1649248014 | Department of The Army Usa Meddac/evans Army Community Hospital | Clinic/Center | Usa Meddac/evans Army Community Hospital, Ob/gyn Clinic 1650 Cochrane Cir, Ft Carson, CO 80911 | 2006-03-10 |
| 1841568169 | Evans Army Community Hospital | Military Hospital | 2400 Cody Dr, Colorado Springs, CO 80911-1018 | 2011-12-01 |
| 1114069812 | John C Bahrenburg | Chiropractor | 1825 Main St Ste C, Colorado Springs, CO 80911-1100 | 2007-02-12 |
| 1174180103 | Peak Performance Ltd | Chiropractor | 1825 Main St Ste C, Colorado Springs, CO 80911-1100 | 2019-05-24 |
| 1871636951 | Holly M Leslie | Chiropractor | 1825 Main St Ste C, Colorado Springs, CO 80911-1100 | 2007-02-15 |
| Find all providers in zip 80911 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265054431 | Kimberly Goyack | Physician Assistant | 10807 New Allegiance Dr Ste 450, Colorado Springs, CO 80921-3722 | 2020-05-11 |
| 1891316089 | Chase Devalk | Physician Assistant | 560 Thames Dr, Colorado Springs, CO 80906-4839 | 2020-04-29 |
| 1841846193 | Caroline Selting | Physician Assistant | 2255 Oak Hills Dr, Colorado Springs, CO 80919-3477 | 2019-08-13 |
| 1578121935 | Raymond Shaun Wolff | Physician Assistant | 6936 Shea Dr Apt A, Colorado Springs, CO 80902-7334 | 2019-05-31 |
| 1063996288 | Matthew Steven Chernikovich | Physician Assistant | 5134 N Nevada Ave Ste 100, Colorado Springs, CO 80918-8699 | 2018-09-24 |
| 1649798018 | Adam Robert Sahlberg | Physician Assistant | 10222 Desert Bloom Way, Colorado Springs, CO 80925-1345 | 2017-09-06 |
| 1851821334 | Jennifer Abbott | Physician Assistant | 6071 E Woodmen Rd Ste Unit300, Colorado Springs, CO 80923-2607 | 2017-06-15 |
| 1912431081 | Brandon Eliott Griffis | Physician Assistant | 3803 N Chestnut St, Colorado Springs, CO 80907-4107 | 2017-04-16 |
| 1508309709 | Aleksandr M Kaplun | Physician Assistant | 155 Printers Pkwy Ste 23, Colorado Springs, CO 80910-6100 | 2016-11-21 |
| 1972059038 | Shelby Lynne Ransdell | Physician Assistant | 116 Sherri Dr, Colorado Springs, CO 80911-1447 | 2016-08-29 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80911 |
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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.