GWEN LYNN SMITH (NPI# 1770813651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770813651 |
| Entity Type | Individual |
| Full Name | GWEN LYNN SMITH |
| Credential | PA-C |
| Practice Address |
911 E 20th St Ste 700 Sioux Falls SD 57105-1049 |
| Practice Telephone | 6053340393 |
| Practice Fax Number | 6053346028 |
| Mailing Telephone | 6053340393 |
| Mailing Fax Number | 6053346028 |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2016-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0727 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417004920 | Gwen Maria Smith | Counselor | 2286 County Road Q, Wilber, NE 68465-2433 | 2007-01-05 |
| 1366988149 | Gwen Patricia Smith | Nurse Practitioner | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2017-01-17 |
| 1366691040 | Gwen D Smith | Counselor | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2008-09-17 |
| 1851480339 | Gwen Smith | Nurse Practitioner | 12000 Mccracken Rd, Suite 550, Garfield Hts, OH 44125-2964 | 2006-10-12 |
| 1295758332 | Gwen Davis Smith | Physical Therapist | 204 Floral Vale Blvd, Yardley, PA 19067-5524 | 2006-07-26 |
| Street Address |
911 E 20TH ST STE 700 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506939 | Dakota Surgical Ltd | Clinic/Center | 911 E 20th St, Ste 300, Sioux Falls, SD 57105-1045 | 2005-05-24 |
| 1487008686 | Shelly Rae Tibke | Registered Nurse | 911 E 20th St, Ste 700, Sioux Falls, SD 57105-1049 | 2016-04-14 |
| 1447507660 | Dana J Buus | Nurse Practitioner | 911 E 20th St, Suite 405, Sioux Falls, SD 57105-1042 | 2012-08-07 |
| 1912267030 | Oluma Yoseph Bushen | Internal Medicine | 911 E 20th St, Suite 509, Sioux Falls, SD 57105-1042 | 2012-05-23 |
| 1942572086 | Trichelle Grace Petermann | Nurse Practitioner | 911 E 20th St, Ste 400, Sioux Falls, SD 57105-1042 | 2012-02-06 |
| 1578783213 | Virginia K Trumbull | Dietitian, Registered | 911 E 20th St, Physicians Office Building, Suite 600, Sioux Falls, SD 57105-1042 | 2007-04-26 |
| 1093833840 | Michael R. Puumala, M.d.,p.c. | Specialist | 911 E 20th St, Suite 400, Sioux Falls, SD 57105-1042 | 2007-03-27 |
| 1174647655 | Mary E. Kinney | Registered Nurse | 911 E 20th St, Sioux Falls, SD 57105-1042 | 2007-03-19 |
| 1699818252 | Delaina Patricia Sievers | Physician Assistant | 911 E 20th St, Suite 303, Sioux Falls, SD 57105-1042 | 2007-02-14 |
| 1821136219 | Michael Shawn Bauer | Surgery | 911 E 20th St, Ste 700, Sioux Falls, SD 57105-1049 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| 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 |
|---|---|---|---|---|
| 1124627898 | Mikaela Theobald | Physician Assistant | 6101 E Quartzite Dr, Sioux Falls, SD 57110-3988 | 2020-10-22 |
| 1467064097 | Kara Rae Koth | Physician Assistant | 4913 E 42nd St, Sioux Falls, SD 57110-4409 | 2020-08-17 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1326608910 | Ashley Pommer | Physician Assistant | 8232 W 51st St, Sioux Falls, SD 57106-7861 | 2019-06-17 |
| 1225550908 | Almir Krdzalic | Physician Assistant | 110 W Honors St, Sioux Falls, SD 57108-8174 | 2017-07-13 |
| 1598160335 | Heidi Jo Vogel | Physician Assistant | 1417 S Cliff Avenue, Suite 200, Sioux Falls, SD 57105 | 2014-10-22 |
| 1639507882 | Kelsey Isaacson | Physician Assistant | 4201 S Minnesota Ave, Suite 112, Sioux Falls, SD 57105-6705 | 2013-10-25 |
| 1033551114 | Karissa G Zimmer | Physician Assistant | 2315 W. 57th Street, Suite 300, Sioux Falls, SD 57108 | 2013-07-18 |
| 1740623065 | Nicolette Schmuck | Physician Assistant | 1500 W 22nd St Ste 302, Sioux Falls, SD 57105-1599 | 2013-04-17 |
| 1023389392 | Leah Ayn Mergen | Physician Assistant | 521 N Main Ave Ste 100, Sioux Falls, SD 57104-5947 | 2012-01-19 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.