DR. GILBERT D SMITH (NPI# 1710965371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710965371 |
| Entity Type | Individual |
| Full Name | DR. GILBERT D SMITH |
| Credential | M.D. |
| Practice Address |
225 Physicians Park Suite 400 Poplar Bluff MO 63901-3956 |
| Practice Telephone | 5737275500 |
| Practice Fax Number | 5737275599 |
| Mailing Telephone | 5737275500 |
| Mailing Fax Number | 5737275599 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2014-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R5B27 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 201524741 | 05 | |
| MO | MEDICAID | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508235359 | Gilbert A Smith | Psychiatry & Neurology | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2015-09-23 |
| 1619184322 | Gilbert Eric Smith | Dentist | 326 Tom Miller Rd, Plattsburgh, NY 12901-6430 | 2007-05-16 |
| 1780745174 | Gilbert A Smith | Counselor | 504 Sicklerville Rd, 2nd. Floor, Sicklerville, NJ 08081-2626 | 2006-12-12 |
| Street Address |
225 PHYSICIANS PARK SUITE 400 |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-3956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376008334 | Zachary L Ferguson | Physician Assistant | 225 Physicians Park, Poplar Bluff, MO 63901-3935 | 2019-02-04 |
| 1316486202 | Vanessa Adams | Nurse Practitioner | 225 Physicians Park, Ste 203, Poplar Bluff, MO 63901-3935 | 2017-02-13 |
| 1134589625 | Ssm Neurosciences, Inc. | Neurological Surgery | 225 Physicians Park, Suite 102, Poplar Bluff, MO 63901-3935 | 2016-02-26 |
| 1275991861 | Southern Care and Comfort In Home Agency, LLC | In Home Supportive Care | 225 Physicians Park, Suite 301, Poplar Bluff, MO 63901-3935 | 2016-02-10 |
| 1215305941 | Christian Bowers | Nurse Practitioner | 225 Physicians Park, Suites 400 & 104, Poplar Bluff, MO 63901-3935 | 2015-09-11 |
| 1730586777 | Mark Gerard Smith | Physical Therapist | 225 Physicians Park, Suite 101, Poplar Bluff, MO 63901-3956 | 2014-11-19 |
| 1689096919 | Saint Francis Medical Center | Internal Medicine | 225 Physicians Park, Ste 400, Poplar Bluff, MO 63901-3956 | 2014-01-06 |
| 1386998318 | Black River Medical Group, LLC | Surgery | 225 Physicians Park, Suite 204, Poplar Bluff, MO 63901-3956 | 2012-10-29 |
| 1609157403 | Joyce A Barklow | Nurse Practitioner | 225 Physicians Park, Suite 203, Poplar Bluff, MO 63901-3956 | 2011-09-07 |
| 1265712780 | Amber Wheeler Richardson | Psychologist | 225 Physicians Park, Ste 300, Poplar Bluff, MO 63901-3930 | 2011-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912121807 | Sharon K. Brandon, LLC | Family Medicine | 722 Maple Ridge Trl, Poplar Bluff, MO 63901-2216 | 2007-04-12 |
| 1538263827 | Cheryll Darline Rich | Family Medicine | 2002 Kanell Blvd Ste 103, Poplar Bluff, MO 63901-4042 | 2006-09-08 |
| 1568434520 | Austin R Tinsley | Family Medicine | 2400 Lucy Lee Pkwy, Ste A, Poplar Bluff, MO 63901 | 2006-02-03 |
| 1447256987 | Plunkett Family Care Center LLC | Family Medicine | 2480 Three Rivers Blvd, Poplar Bluff, MO 63901-2318 | 2005-06-21 |
| 1922003276 | Dorothy M Munch | Family Medicine | 930 N Westwood Blvd, Poplar Bluff, MO 63901-4242 | 2005-06-14 |
| 1538578075 | Mohamed Abdalaziz | Family Medicine | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2014-08-08 |
| 1760898787 | Poplar Bluff Regional Medical Center, LLC | Family Medicine | 2588 N Westwood Blvd, Poplar Bluff, MO 63901-2339 | 2014-07-10 |
| 1760742084 | David William Wood | Family Medicine | 2360 Katy Ln, Poplar Bluff, MO 63901-2300 | 2012-05-21 |
| 1528336294 | Gary Luther Ward II | Family Medicine | 2002 Kanell Blvd, Suite 106, Poplar Bluff, MO 63901-4045 | 2011-12-08 |
| 1740592435 | Michael Dewayne Roach | Family Medicine | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2010-07-09 |
| Find all providers in POPLAR BLUFF | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
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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.