DR. KOLETTE L SMITH (NPI# 1730187386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730187386 |
| Entity Type | Individual |
| Full Name | DR. KOLETTE L SMITH |
| Credential | M.D. |
| Practice Address |
1000 Pole Creek Xing Sidney NE 69162-2901 |
| Mailing Address |
16074 Us Highway 59 Altamont KS 67330-9314 |
| Practice Telephone | 3082545825 |
| Mailing Telephone | 6208204395 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0427156 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100446510A | 05 | |
| KS | BCBS | 102502 | 01 |
| Street Address |
1000 POLE CREEK XING |
| City | SIDNEY |
| State | NE |
| Zip Code | 69162-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895952 | Cheyenne County Hospital Association Inc | Pharmacy | 1000 Pole Creek Xing, Sidney, NE 69162-2900 | 2020-09-14 |
| 1538790704 | Poudre Valley Medical Group, LLC | Internal Medicine | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2020-01-28 |
| 1003447194 | Sabra D Peetz | Physician Assistant | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2020-01-28 |
| 1124594163 | Stacey Mitlehner | Physical Therapy Assistant | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2018-10-17 |
| 1265914014 | Emily Johnson | Pharmacist | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2018-08-29 |
| 1497234926 | John Patrick Mildenberger | Pharmacist | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2018-08-07 |
| 1619405263 | Kory Krahl | Nurse Anesthetist, Certified Registered | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2017-05-26 |
| 1295270346 | Nathaniel Clark | Nurse Anesthetist, Certified Registered | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2016-12-28 |
| 1821543372 | Andrew Stieb | Physician Assistant | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2016-08-24 |
| 1396192324 | Jamie Rezac | Occupational Therapist | 1000 Pole Creek Xing, Rehabilitation, Sidney, NE 69162-2901 | 2016-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992192207 | Sheila Howard | Counselor | 1516 1/2 10th Ave, Sidney, NE 69162 | 2015-04-24 |
| 1801027479 | James Allen Grosshans | Nurse Anesthetist, Certified Registered | 645 Osage, Memorial Health Center, Sidney, NE 69162 | 2009-07-30 |
| 1386704252 | Nancy Kay Bradford | Counselor | 1023 10th Avenue, Sidney, NE 69162 | 2006-12-11 |
| 1861585200 | Western Drug Co | Durable Medical Equipment & Medical Supplies | 806 Illinios, Sidney, NE 69162 | 2006-09-30 |
| 1518070507 | David J Peckham | Dentist | 1133 Jackson, Sidney, NE 69162 | 2006-08-16 |
| 1578571527 | Carl John Cornelius Jr. | Family Medicine | 1116 10th Avenue, Sidney, NE 69162 | 2006-08-04 |
| 1992130751 | Kristen E Rose | Counselor | 1000 Pole Creek Crossing, Sidney, NE 69162 | 2013-09-11 |
| 1366504367 | Debra Jean Loveless | Counselor | 1023 10th Avenue, Sidney, NE 69162 | 2006-12-15 |
| 1376504357 | Stephanie L Green | Nurse Practitioner | 1000 Pole Creek Xing Ste 1, Sidney, NE 69162 | 2006-03-30 |
| 1528330099 | Tara Rachel Turner | Licensed Practical Nurse | 1929 Dodge St, Sidney, NE 69162-1042 | 2012-01-31 |
| Find all providers in zip 69162 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1578833851 | Edward Delancy Sparks | Internal Medicine | 1135 Ontario Ct, Sidney, OH 45365-8197 | 2012-01-04 |
| 1528262029 | Rehan Ahmed | Internal Medicine | 1079 Fairington Drive, Suite 100, Sidney, OH 45365-9900 | 2007-06-11 |
| 1659574986 | Dermatology Allergy General Physicians of Ohio Inc | Internal Medicine | 1000 W Michigan Street, Sidney, OH 45365-2404 | 2007-06-06 |
| 1407929524 | Rajohn Karanjai | Internal Medicine | 214 14th Ave Sw Ste 110, Sidney, MT 59270 | 2006-11-16 |
| 1639283377 | Oyekunle A Oyekanmi | Internal Medicine | 915 W. Michigan Street, Sidney, OH 45365-2491 | 2006-08-19 |
| 1558310995 | Rudy J Bohinc | Internal Medicine | 915 West Michigan St, Sidney, OH 45365-2401 | 2006-05-10 |
| 1275072456 | Noel Nguewoun Herve | Internal Medicine | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2017-02-21 |
| 1669890042 | April Smith | Internal Medicine | 1000 Pole Creek Crossing, Sidney, NE 69162-2900 | 2014-04-02 |
| 1770825663 | Remon Obeid Md, LLC | Internal Medicine | 915 Michigan St, Yager Building Suite 302, Sidney, OH 45365-2401 | 2013-03-19 |
| 1083879415 | Edward L Pierce Md PC | Internal Medicine | 214 14th Ave Sw, Suite 112, Sidney, MT 59270-3521 | 2008-07-24 |
| Find all providers in SIDNEY | ||||
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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.