MARC RICHARD SMITH (NPI# 1730256785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730256785 |
| Entity Type | Individual |
| Full Name | MARC RICHARD SMITH |
| Practice Address |
400 E 3rd St Duluth MN 55805-1951 |
| Practice Telephone | 2187864150 |
| Mailing Telephone | 2187864150 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2011-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R141080-6 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 984246200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497158380 | Marc Smith | Social Worker | 39640 Hillary Dr, Canton, MI 48187-4208 | 2014-10-06 |
| 1871122960 | Marc E. Smith | Case Manager/Care Coordinator | 10296 Springfield Pike Ste 500, Cincinnati, OH 45215-1194 | 2020-04-02 |
| 1588208276 | Marc Smith | Case Manager/Care Coordinator | 3316 Laverne Ave, Bakersfield, CA 93309-4122 | 2019-11-05 |
| 1144788993 | Marc Smith | Speech-Language Pathologist | 400 Dawson Rd., Forrest City, AR 72335 | 2019-03-11 |
| 1942706841 | Marc Charles Smith | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Ct-a7d, Los Angeles, CA 90033 | 2018-04-01 |
| 1154847713 | Marc C Smith | Nurse Anesthetist, Certified Registered | 2001 W 68th St, Hialeah, FL 33016-1801 | 2017-08-16 |
| 1497045579 | Marc Gerald Smith | Military Health Care Provider | 3355 Illinois St, Bldg 1007, Great Lakes, IL 60088-3115 | 2011-04-11 |
| 1992981138 | Marc Newell Smith | Social Worker | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2008-01-17 |
| 1396969580 | Marc I Smith | Physical Therapist | 315 S Manning Blvd, Albany, NY 12208-1707 | 2007-04-12 |
| 1427133446 | Marc Lloyd Smith | General Practice | 11803 W North Ave, Wauwatosa, WI 53226 | 2006-10-26 |
| Street Address |
400 E 3RD ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-1951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122799 | Janet S. Bennett | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2005-05-27 |
| 1386250454 | Erin Elizabeth Kukowski | Nurse Anesthetist, Certified Registered | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-09-23 |
| 1760096416 | Janine M Cook | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-09-01 |
| 1912510694 | Emily Stunek | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-08-24 |
| 1831709781 | Sarah Ann Yokel | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-08-05 |
| 1063020352 | Natalie R Halverson | Speech-Language Pathologist | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-07-22 |
| 1588272470 | Danielle M Huber | Clinical Neuropsychologist | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-07-17 |
| 1326663733 | Bonnie M Gustafson | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-06-11 |
| 1265057640 | Sonja E Hanson | Registered Nurse | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-06-11 |
| 1588203061 | Erin Laveau-allen | Student in an Organized Health Care Education/Training Program | 400 E 3rd St, Duluth, MN 55805-1951 | 2019-12-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
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| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285139865 | Levi Garrett La Porte | Nurse Anesthetist, Certified Registered | Duluth Clinic, 400 East Third Street, Duluth, MN 55805-1951 | 2018-03-27 |
| 1538326137 | Shawn C Lewis | Nurse Anesthetist, Certified Registered | 2938 Major Ridge Trl, Anesthesia Department, Duluth, GA 30097-4985 | 2008-05-21 |
| 1073689295 | Nicolle Marie Nicklas | Nurse Anesthetist, Certified Registered | 219 Garden St., Duluth, MN 55812 | 2006-11-28 |
| 1215947064 | Jacalyn Ann Hoecker | Nurse Anesthetist, Certified Registered | 920 E 1st St Ste P-101, Pavilion Surgery Center, Duluth, MN 55805-2201 | 2006-08-08 |
| 1326098377 | Christopher J Lafleur | Nurse Anesthetist, Certified Registered | 3704 Allendale Ave, Duluth, MN 55803-1829 | 2006-05-11 |
| 1952360653 | Joan Eileen Jay | Nurse Anesthetist, Certified Registered | 2620 Satellite Blvd, Duluth, GA 30096-1204 | 2006-03-21 |
| 1386250454 | Erin Elizabeth Kukowski | Nurse Anesthetist, Certified Registered | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-09-23 |
| 1083246136 | Kristin L Schomburg | Nurse Anesthetist, Certified Registered | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-02-06 |
| 1316598949 | David Lloyd Johnson | Nurse Anesthetist, Certified Registered | 915 E 1st St, Duluth, MN 55805-2107 | 2019-09-25 |
| 1962050906 | Brandon S Percival | Nurse Anesthetist, Certified Registered | 400 E Third Street, Duluth, MN 55805-1951 | 2019-09-03 |
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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.