DR. MICHAEL J SMITH (NPI# 1720127806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720127806 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J SMITH |
| Credential | D.C. |
| Practice Address |
3210 Highway 77 Panama City FL 32405-5022 |
| Practice Telephone | 8508721951 |
| Practice Fax Number | 8508721952 |
| Mailing Telephone | 8508721951 |
| Mailing Fax Number | 8508721952 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH-5609 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS OF FL | 22054 | 01 |
| MEDICARE ID | 22054Z | 01 | |
| AETNA | 4347605 | 01 | |
| CIGNA | 4534607 | 01 | |
| FL | PROVIDER ID | 593739233 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200012 | Michael Smith | Physical Therapy Assistant | 3690 Orange Pl Ste 250, Beachwood, OH 44122-4438 | 2020-09-22 |
| 1700499712 | Michael Martin Smith | Social Worker | 1020 Simonds Rd, Williamstown, MA 01267-2102 | 2020-08-28 |
| 1811509466 | Michael Browning Smith | Acupuncturist | 2039 Regency Rd Ste 3, Lexington, KY 40503-2334 | 2020-08-17 |
| 1942862941 | Michael B Smith | Counselor | 260 Chapman Rd Ste 103, Newark, DE 19702-5410 | 2019-07-01 |
| 1003370818 | Michael Jaleon Smith | Case Manager/Care Coordinator | 14206 Long Meadow Dr, Houston, TX 77047-4597 | 2019-01-25 |
| 1699255877 | Michael R Smith | Naturopath | 23501 W Clark St, Plainfield, IL 60586-2321 | 2018-08-17 |
| 1750869384 | Michael Smith | Counselor | 4636 E 175th St, Cleveland, OH 44128-3930 | 2018-08-06 |
| 1730671207 | Michael Carl Smith | Assisted Living Facility | 5736 N 33rd Ave, Phoenix, AZ 85017 | 2018-05-31 |
| 1851800874 | Michael Smith | Physician Assistant | 11 South Osceola Ave, Apt 3102, Orlando, FL 32801 | 2017-09-21 |
| 1457878118 | Michael Smith | Physical Therapist | 3524 Kaliste Saloom Rd Ste 205, Lafayette, LA 70508-7638 | 2017-08-24 |
| Street Address |
3210 HIGHWAY 77 |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-5022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629530175 | Connor Wolfe | Chiropractor | 3210 Highway 77, Panama City, FL 32405-5022 | 2019-04-03 |
| 1194227421 | Carlos Andres Herrera | Chiropractor | 3210 Highway 77, Panama City, FL 32405-5022 | 2018-03-02 |
| 1962924761 | Amy Mccormick | Chiropractor | 3210 Highway 77, Panama City, FL 32405-5022 | 2017-07-13 |
| 1538681648 | Kenneth Antonetti | Chiropractor | 3210 Highway 77, Panama City, FL 32405-5022 | 2017-07-10 |
| 1780041756 | Annabelle Mac Auley | Chiropractor | 3210 Highway 77, Panama City, FL 32405-5022 | 2016-01-21 |
| 1184001570 | Waterside Medical Services, Inc. | General Practice | 3210 Highway 77, Panama City, FL 32405-5022 | 2015-05-05 |
| 1184916934 | Jonathan Grant Shores | Chiropractor | 3210 Highway 77, Panama City, FL 32405-5022 | 2011-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037448 | Panama City Chiropractic and Auto Injury LLC | Chiropractor | 221 E 23rd St Ste A, Panama City, FL 32405-4557 | 2020-06-11 |
| 1730712076 | Panama City Beach Medical Solutions | Chiropractor | 2318 Saint Andrews Blvd, Panama City, FL 32405-2168 | 2020-02-14 |
| 1376972794 | Elzaan Truter | Chiropractor | 1349 Capri Dr, Panama City, FL 32405 | 2013-11-06 |
| 1699029579 | Bay Clinic of Chiropractic LLC | Chiropractor | 1613 Saint Andrews Blvd, Panama City, FL 32405-2881 | 2012-10-31 |
| 1417135831 | Hal C Cowen Dc Pa | Chiropractor | 127 W 23rd St, Panama City, FL 32405-4504 | 2008-02-07 |
| 1215112412 | Gale F Cooney Dc Pa | Chiropractor | 2410 Lisenby Ave, Panama City, FL 32405-3537 | 2008-01-07 |
| 1669591004 | Robert M Copp | Chiropractor | 1138 Harrison Ave, Panama City, FL 32401-2431 | 2007-03-28 |
| 1033243357 | Florida Chiropractic Clinic Pa | Chiropractor | 6029 E Highway 98, Panama City, FL 32404-7488 | 2007-03-16 |
| 1851427439 | Walter Reid Bauman | Chiropractor | 3613 N Highway 231, Panama City, FL 32404-9743 | 2007-02-26 |
| 1710080882 | Mark Daniel White | Chiropractor | 2427 Thomas Dr, Panama City, FL 32408 | 2006-09-06 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
Please comment or provide details below to improve the information on DR. MICHAEL J SMITH.
| 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.