TERRY L SMITH (NPI# 1710952585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710952585 |
| Entity Type | Individual |
| Full Name | TERRY L SMITH |
| Credential | PAC |
| Practice Address |
101 Town and Country Ln Ste 100 Hazard KY 41701-9524 |
| Mailing Address |
Po Box 1988 Hazard KY 41702-1988 |
| Practice Telephone | 6064391300 |
| Practice Fax Number | 6064391400 |
| Mailing Telephone | 6064391300 |
| Mailing Fax Number | 6064391400 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2019-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA955 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 95005930 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780239863 | Terry Lynn Smith | Home Health Aide | 5000 Alta Dr Apt 426, Las Vegas, NV 89107-3935 | 2019-08-06 |
| 1578953816 | Terry Richonne Smith | Registered Nurse | 3 Walker Rd, Apt 8, North Andover, MA 01845-1944 | 2015-01-26 |
| 1285948851 | Terry R Smith | Social Worker | 3904 67th St Nw, Albuquerque, NM 87120-4935 | 2010-08-05 |
| 1528371796 | Terry L Smith | Counselor | 1140 W 500 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1770626244 | Terry Judson Smith | Pharmacist | 1515 N. Medical Dr., Stuttgart, AR 72160 | 2007-02-15 |
| 1295872182 | Terry C Smith | Chiropractor | 5698 S Us Highway 85-87, Ste 110, Colorado Springs, CO 80911-1465 | 2007-01-31 |
| 1275684524 | Terry Wayne Smith | Optometrist | 781 Route 1, Yarmouth, ME 04096-6989 | 2007-01-15 |
| 1821156324 | Terry Martin Smith | Psychiatry & Neurology | 157 Union Street, Marlborough Hospital, Marlborough, MA 01752 | 2006-12-05 |
| 1508952292 | Terry Lee Smith | Nurse Practitioner | 6605 Hillway Cir Ste 101, Naples, FL 34112-8754 | 2006-10-04 |
| 1083621932 | Terry Alan Smith | Psychologist | 10845 Lindbrook Dr, Suite 201, Los Angeles, CA 90024-3042 | 2006-08-02 |
| Street Address |
101 TOWN AND COUNTRY LN STE 100 |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-9524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911346 | Beverly Paige Neace | Physician Assistant | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2005-05-23 |
| 1285250654 | Taneisha Nicole Blair | Advanced Practice Midwife | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2020-06-22 |
| 1366076150 | Brittany April Morgan | Nurse Practitioner | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2020-03-02 |
| 1154966703 | Leandra G Smith | Nurse Practitioner | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2019-11-07 |
| 1053954263 | Rhonda K Hughes | Nurse Practitioner | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2019-10-21 |
| 1104489186 | Candida R Dixon | Nurse Practitioner | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2019-04-16 |
| 1427525377 | Ashli Nicole Fugate | Nurse Practitioner | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2018-10-30 |
| 1679040711 | Sheena Shenae White | Nurse Practitioner | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2018-10-26 |
| 1689173585 | Charlie Mullins | Nurse Practitioner | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2018-02-06 |
| 1043728124 | Christina Ruth Martin | Nurse Practitioner | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2018-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| 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 |
|---|---|---|---|---|
| 1346243433 | Polly C Jones | Physician Assistant | 145 Citizens Ln, Suite B, Hazard, KY 41701-1320 | 2005-05-23 |
| 1699778795 | Marty Mullins | Physician Assistant | 210 Black Gold Blvd Ste 106, Hazard, KY 41701-2620 | 2005-05-23 |
| 1013911346 | Beverly Paige Neace | Physician Assistant | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2005-05-23 |
| 1851947717 | Lindsey Brooke Combs | Physician Assistant | 210 Black Gold Blvd Ste 106, Hazard, KY 41701-2620 | 2019-08-15 |
| 1295214047 | Johnathan O'neil Davidson | Physician Assistant | 200 Medical Center Dr, Hazard, KY 41701 | 2018-08-13 |
| 1104317908 | Brett Marvin Smith | Physician Assistant | 100 Medical Center Dr, Hazard, KY 41701 | 2018-05-29 |
| 1518330596 | Hillary R Campbell | Physician Assistant | 200 Medical Center Dr, Hazard, KY 41701-9466 | 2015-11-12 |
| 1801177027 | Jessica Lea Amburgey | Physician Assistant | 100 Medical Center Dr, Hazard, KY 41701-9421 | 2011-09-01 |
| 1821211996 | Hazard Internal Medicine, P.s.c | Physician Assistant | 243 Roy Campbell Dr, Suite A, Hazard, KY 41701-9485 | 2007-04-10 |
| 1023025384 | Mary A Engle | Physician Assistant | 271 E Main St, Hazard, KY 41701-1939 | 2006-08-01 |
| Find all providers in HAZARD | ||||
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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.