DILLON SMITH (NPI# 1780087502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780087502 |
| Entity Type | Individual |
| Full Name | DILLON SMITH |
| Practice Address |
2780 E Barnett Rd Ste 200 Medford OR 97504 |
| Mailing Address |
2780 E Barnett Rd Ste 200 Medford OR 97504-8674 |
| Practice Telephone | 5417796250 |
| Practice Fax Number | 5416082535 |
| Mailing Telephone | 5417796250 |
| Mailing Fax Number | 5416082535 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2019-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA173732 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-1187 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7301 W Emerald St, Suite 103, Boise, ID 837048688 | 2083312760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312482 | Dillon Smith | Physical Therapist | 6621 Dan Danciger Rd, Fort Worth, TX 76133-4905 | 2020-09-28 |
| 1245722917 | Dillon Smith | Optometrist | 730 S Washington Ave, Titusville, FL 32780 | 2018-05-30 |
| 1285022038 | Dillon Edward Smith | Specialist/Technologist | 425 Jack Branch Dr, Boone, NC 28608-0001 | 2015-01-02 |
| Street Address |
2780 E BARNETT RD STE 200 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184829350 | Ryan S Beck | Physical Therapist | 2780 E Barnett Rd Ste 200, Medford, OR 97504 | 2007-06-18 |
| 1225645534 | Edoardo Ferrari | Physical Therapist | 2780 E Barnett Rd Ste 200, Medford, OR 97504-8674 | 2020-09-30 |
| 1649898362 | Lucas Wyatt Sealby | Physician Assistant | 2780 E Barnett Rd Ste 200, Medford, OR 97504-8674 | 2020-07-09 |
| 1740827377 | Erica Fazzini | Physician Assistant | 2780 E Barnett Rd Ste 200, Medford, OR 97504-8674 | 2019-12-02 |
| 1699338939 | Kenneth Gardner | Physical Therapist | 2780 E Barnett Rd Ste 200, Medford, OR 97504-8674 | 2019-04-22 |
| 1629546957 | Adam Alstein | Physical Therapist | 2780 E Barnett Rd Ste 200, Medford, OR 97504-8674 | 2018-11-05 |
| 1043799778 | Andrew M Bacha Iv | Physical Therapist | 2780 E Barnett Rd Ste 200, Medford, OR 97504 | 2018-08-13 |
| 1811481559 | Jesse Graham Makaniloa Guerin | Occupational Therapist | 2780 E Barnett Rd Ste 200, Medford, OR 97504-8674 | 2018-06-17 |
| 1881196517 | Eric Daniel Moll | Physical Therapist | 2780 E Barnett Rd Ste 200, Medford, OR 97504 | 2018-03-08 |
| 1285135533 | Teresa Marie Labadie | Physical Therapist | 2780 E Barnett Rd Ste 200, Medford, OR 97504-8674 | 2018-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932346095 | Elena Tovkan Forster | Physician Assistant | 2924 Siskiyou Blvd Ste 200, Medford, OR 97504 | 2009-01-12 |
| 1245416544 | Alanna R Dixon | Physician Assistant | 1698 E. Mcandrews Rd, Suite 400, Medford, OR 97504-5590 | 2008-01-16 |
| 1134784580 | Amanda Nicole Taylor | Physician Assistant | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2019-05-01 |
| 1295398766 | Lindsey R Robinson | Physician Assistant | 19 Myrtle St, Medford, OR 97504-7337 | 2019-04-19 |
| 1396226247 | Mason Scott Hoying | Physician Assistant | 1698 E Mcandrews Rd Ste 400, Medford, OR 97504-5590 | 2018-08-28 |
| 1720598287 | Ryan Mcdaniel | Physician Assistant | 2780 E Barnett Rd, Medford, OR 97504-8674 | 2017-10-10 |
| 1861946931 | Erica Florence Smith | Physician Assistant | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2016-08-06 |
| 1578933123 | Fred Garnica | Physician Assistant | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2015-09-25 |
| 1003297581 | Gregory Lee Werner | Physician Assistant | 143 S Gibson St, Medford, WI 54451-1622 | 2015-06-10 |
| 1861802944 | Landon Masterfield | Physician Assistant | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2014-04-29 |
| Find all providers in MEDFORD | ||||
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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.