MR. CHAD D SMITH (NPI# 1770627051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770627051 |
| Entity Type | Individual |
| Full Name | MR. CHAD D SMITH |
| Credential | PAC |
| Practice Address |
1316 Mercy Dr Muskegon MI 49444-1891 |
| Mailing Address |
370 N 120th Ave Holland MI 49424-2196 |
| Practice Telephone | 2317399461 |
| Practice Fax Number | 2317338131 |
| Mailing Telephone | 6163965855 |
| Mailing Fax Number | 6163965720 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601005752 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1770627051 | 05 | |
| MI | BLUE CROSS BLUE SHIELD | CS005752 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1675 Patriot Dr, Muskegon, MI 494447807 | 2317391933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891275145 | Chad Darron Smith | Nurse Practitioner | 4500 Biscayne Blvd Ste 310, Miami, FL 33137-3236 | 2018-08-16 |
| 1265856330 | Chad Smith | Physician Assistant | 7201 Us 64 Hwy E, Knightdale, NC 27545-9268 | 2014-02-10 |
| 1265602320 | Chad Derek Smith | Emergency Medicine | 6071 West Outer Dr., Detroit, MI 48235 | 2008-03-05 |
| 1174714133 | Chad P Smith | Optometrist | 211 N Whitworth Ave, Brookhaven, MS 39601-3051 | 2007-08-06 |
| 1811187115 | Chad Smith | Pharmacist | 116 West Ocoee St, Copperhill, TN 37317-0370 | 2007-08-01 |
| 1699894923 | Chad Ernest Smith | Physician Assistant | 1703 E 18th St, Loveland, CO 80538-4283 | 2007-03-28 |
| 1013056571 | Chad Eric Smith | Speech-Language Pathologist | 1125 Ga Hwy 126, Cochran, GA 31014 | 2007-02-05 |
| 1609933613 | Chad Allen Smith | Nurse Anesthetist, Certified Registered | 4301 Vista Rd., Pasadena, TX 77504-2117 | 2007-01-02 |
| 1679675334 | Chad S Smith | Optometrist | 8244 E Us Highway 36 Ste 1270, Avon, IN 46123-9621 | 2006-09-02 |
| 1134130859 | Chad Ryan Smith | Physical Therapist | 9 Montauk Hwy, Unit A, Blue Point, NY 11715-1136 | 2006-08-10 |
| Street Address |
1316 MERCY DR |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444-1891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649232406 | Veronica R Petty | Surgery | 1316 Mercy Dr, Muskegon, MI 49444-1835 | 2006-04-05 |
| 1467980441 | Thomas Allen Jones | Physician Assistant | 1316 Mercy Dr, Muskegon, MI 49444-1835 | 2017-06-02 |
| 1790103992 | Laura Lozier | Surgery | 1316 Mercy Dr, Muskegon, MI 49444-1835 | 2014-04-03 |
| 1427290113 | Justin Eisenberg | Surgery | 1316 Mercy Dr, Muskegon, MI 49444-1835 | 2009-03-27 |
| 1124284427 | Daniel Mark Alterman | Surgery | 1316 Mercy Dr, Muskegon, MI 49444-1835 | 2008-08-06 |
| 1114147477 | Joel Brougher Anderson | Surgery | 1316 Mercy Dr, Muskegon, MI 49444-1835 | 2007-04-27 |
| 1225101660 | Muskegon Surgical Associates PC | Plastic Surgery | 1316 Mercy Dr, Muskegon, MI 49444-1835 | 2006-11-15 |
| 1487617338 | Gregory A Myers | Surgery | 1316 Mercy Dr, Muskegon, MI 49444-1835 | 2006-04-11 |
| 1194788943 | Lawrence I Mallon | Surgery | 1316 Mercy Dr, Muskegon, MI 49444-1835 | 2006-04-11 |
| 1306809546 | Dena W Thayer | Surgery | 1316 Mercy Dr, Muskegon, MI 49444-1835 | 2006-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053947176 | Audra Langlois | Physician Assistant | 1675 Leahy St Ste 401, Muskegon, MI 49442-5544 | 2020-03-20 |
| 1306353222 | Ryan Hobby | Physician Assistant | 1400 Mercy Dr # 100, Muskegon, MI 49444-1836 | 2017-12-30 |
| 1427563527 | Jamie Lynn Vaughan | Physician Assistant | 1212 E Sherman Blvd Ste 2, Muskegon, MI 49444-1879 | 2017-12-11 |
| 1437462942 | Elizabeth Kay Lubbers | Physician Assistant | 1700 Clinton St., Muskegon, MI 49442 | 2010-07-26 |
| 1316177496 | Thomas Allen La Nore | Physician Assistant | 3214 Glenside Blvd, Muskegon, MI 49441-3976 | 2009-07-22 |
| 1922248772 | Mercy Health Partners - Physician Specialist | Physician Assistant | 1778 Sanford St, Muskegon, MI 49441-2537 | 2009-03-05 |
| 1629010384 | Mercy Specialty Services | Physician Assistant | 1150 E Sherman Blvd Ste 2400, Muskegon, MI 49444 | 2006-06-10 |
| 1548247323 | Daniel Caldwell | Physician Assistant | 1150 E Sherman Blvd, Suite 1125, Muskegon, MI 49444-1871 | 2005-12-22 |
| 1770574634 | Kellie A Laskowski | Physician Assistant | 1325 E Sherman Blvd, Muskegon, MI 49444-1813 | 2005-10-31 |
| 1255339479 | Deborah Ann Posthumus | Physician Assistant | 6207 Harvey St, Ste A, Muskegon, MI 49444-7861 | 2005-07-12 |
| Find all providers in MUSKEGON | ||||
Please comment or provide details below to improve the information on MR. CHAD D 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.