MARK SMITH (NPI# 1760875181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760875181 |
| Entity Type | Individual |
| Full Name | MARK SMITH |
| Practice Address |
4028 Knollton Rd Indianapolis IN 46228-3332 |
| Practice Telephone | 3175235675 |
| Mailing Telephone | 3175235675 |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871025668 | Mark Robert Smith | Physical Therapist | 11448 Princessa Ln, Jacksonville, FL 32218-4054 | 2017-03-30 |
| 1982148565 | Mark Smith Jr. | Pharmacist | 2850 Venice Rd Sw, Apt 3303, Birmingham, AL 35211-6203 | 2016-12-15 |
| 1396124558 | Mark Andrew Smith | Physical Therapist | 125 S Mcdaniel Dr, Auburn, CA 95603-5742 | 2015-05-21 |
| 1366833154 | Mark James Smith | Pharmacist | 2627 Oneida St, Utica, NY 13501-6332 | 2015-02-15 |
| 1568869824 | Mark Smith | Occupational Therapy Assistant | 1160 Old State Rd, New Castle, PA 16101-6417 | 2014-12-01 |
| 1992128581 | Mark Harrison Smith | Case Manager/Care Coordinator | 346 Sycamore Ridge Way, Gahanna, OH 43230-5605 | 2014-02-03 |
| 1881967263 | Mark Steven Smith | Dentist | 7685 Wolf River Cir Ste 102, Germantown, TN 38138-1749 | 2012-02-16 |
| 1225328768 | Mark W Smith | Counselor | 2619 W. 6th St, Suite C, Lawrence, KS 66049 | 2011-04-18 |
| 1053628271 | Mark Thomas Smith | Optometrist | 592 Main St N, Mc Kenzie, TN 38201-1707 | 2010-09-09 |
| 1396982377 | Mark Zachary Smith | Licensed Practical Nurse | 605 S 19th St, Herrin, IL 62948-2305 | 2009-01-14 |
| Street Address |
4028 KNOLLTON RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46228-3332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275797300 | Glendia Diane Butts | Occupational Therapist | 3644 West 48th Street, Indianapolis, IN 46228 | 2008-07-17 |
| 1073573465 | Michael W. Lane | Specialist | 5035 W. 71st St., Ste E, Indianapolis, IN 46228 | 2006-03-28 |
| 1730186628 | Marimelia Skovronsky | Ophthalmology | 1017 W 52nd St, Indianapolis, IN 46228 | 2005-07-07 |
| 1235200742 | Gental Hands Home Health | Home Health | 5960 Manning Rd, Indianapolis, IN 46228-1081 | 2006-11-13 |
| 1710170220 | Vetra Davis | Home Health | 5960 Manning Rd, Indianapolis, IN 46228-1081 | 2007-08-20 |
| 1811453814 | Terry Anthony Webster Jr. | Day Training/Habilitation Specialist | 3710 Nuthatcher Dr, Indianapolis, IN 46228-1089 | 2019-02-14 |
| 1679039671 | T3 Impact Inc. | Counselor | 3710 Nuthatcher Dr, Indianapolis, IN 46228-1089 | 2019-02-14 |
| 1962974097 | Donovan Pettiford | Private Vehicle | 6128 Morning Dove Dr, Indianapolis, IN 46228-1097 | 2018-12-31 |
| 1134217201 | Springfield Health Care Center, Inc | Skilled Nursing Facility | 6130 Michigan Rd, Indianapolis, IN 46228-1200 | 2006-10-11 |
| 1134767692 | Shannon Alford | Counselor | 6130 Michigan Rd, Indianapolis, IN 46228-1200 | 2019-12-16 |
| Find all providers in zip 46228 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351884 | Phx Mymed Health Access Solutions | Case Manager/Care Coordinator | 5777 N. Post Road, Indianapolis, IN 46216-2007 | 2019-11-27 |
| 1407409105 | Jeramie Davis | Case Manager/Care Coordinator | 2829 Greenview Way, Indianapolis, IN 46229-1500 | 2019-07-22 |
| 1174087894 | Cross Resource & Consulting LLC | Case Manager/Care Coordinator | 4716 Round Lake Rd Apt H, Indianapolis, IN 46205-2386 | 2019-01-27 |
| 1033688296 | Khulekani Mangozhe | Case Manager/Care Coordinator | 2410 Executive Dr Ste 201, Indianapolis, IN 46241-5000 | 2018-11-17 |
| 1356818744 | Christa R Henderson | Case Manager/Care Coordinator | 6301 Old Barn Ct, Indianapolis, IN 46268-4045 | 2018-10-24 |
| 1164999546 | Dominique Stuart | Case Manager/Care Coordinator | 2410 Executive Dr, Indianapolis, IN 46241-5045 | 2018-10-24 |
| 1457826513 | Christal Redd | Case Manager/Care Coordinator | 2819 Lambdin Ct, Indianapolis, IN 46268-5090 | 2018-10-04 |
| 1740765726 | Kimberly Sue Davis | Case Manager/Care Coordinator | 3171 N Meridian St Fl 2, Indianapolis, IN 46208-4784 | 2018-09-26 |
| 1720567712 | Monica M Lawrence | Case Manager/Care Coordinator | 924 Ardsley Dr, Indianapolis, IN 46234-2140 | 2018-08-09 |
| 1447737168 | Damon Lowell Hicks | Case Manager/Care Coordinator | 6342 Saint Jean Dr, Indianapolis, IN 46217-3859 | 2018-07-25 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46228 |
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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.