MR. MICHAEL R SMALARA (NPI# 1780882472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780882472 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL R SMALARA |
| Credential | MT (ASCP) |
| Practice Address |
5th Ave and Roosevelt Rd Edward Hines Jr Hospital Hines IL 60141-5000 |
| Mailing Address |
9338 Bayberry Ln Tinley Park IL 60487 |
| Practice Telephone | 7082028387 |
| Mailing Telephone | 7086140725 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
IL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
5TH AVE AND ROOSEVELT RD EDWARD HINES JR HOSPITAL |
| City | HINES |
| State | IL |
| Zip Code | 60141-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952356693 | Emily Heekin Garza | Physical Therapist | 5th Ave and Roosevelt Rd, Hines, IL 60141 | 2006-05-23 |
| 1174696777 | George F Steffen Jr. | Physician Assistant | 5th Ave and Roosevelt Rd, Hines, IL 60141-5000 | 2006-11-15 |
| 1780760025 | Kathleen Marie Ambrose | Dietitian, Registered | 5th Ave and Roosevelt Rd, Mail Route 120d Hines Va Hospital, Hines, IL 60141 | 2006-10-30 |
| 1174609820 | David Cornell Ganch | Urology | 5th Ave and Roosevelt Rd, Hines, IL 60141 | 2006-10-27 |
| 1982789137 | Siobhan Mary Wallner | Dietitian, Registered | 5th Ave and Roosevelt Rd, Mail Route 120, Hines, IL 60141 | 2006-10-26 |
| 1114000486 | Carrie Hintzke | Dietitian, Registered | 5th Ave and Roosevelt Rd, Mail Route 120b, Hines, IL 60141 | 2006-10-23 |
| 1942380704 | Sharon Pauline Foley | Dietitian, Registered | 5th Ave and Roosevelt Rd, Mail Route 120d, Hines, IL 60141 | 2006-10-16 |
| 1891894010 | Mara Jill Andersen | Pharmacist | 5th Ave and Roosevelt Rd, Hines, IL 60141 | 2006-09-22 |
| 1407953854 | Karen L Dahlheimer | Specialist/Technologist | 5th Ave and Roosevelt Rd, Hines, IL 60141 | 2006-09-20 |
| 1285738419 | Deborah Dean | Specialist/Technologist | 5th Ave and Roosevelt Rd, Bldg 113, Hines, IL 60463 | 2006-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273056 | Donizetti Razo | Social Worker | 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 | 2018-11-07 |
| 1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
| 1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
| 1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
| 1154836823 | Kristy Bassett | Social Worker | 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 | 2017-12-04 |
| 1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
| 1932454634 | Michael Ladra Marquez | Physical Therapist | 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 | 2012-07-18 |
| 1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
| 1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
| 1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
| Find all providers in zip 60141 | ||||
| Taxonomy Code | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124413653 | Angelica Hochevar | Spec/Tech, Pathology | 5000 S 5th Ave, Hines, IL 60141-3030 | 2015-04-01 |
| 1215102157 | Edith M Siemianowski | Spec/Tech, Pathology | 5000 S 5th Ave, Microbiology 113, Hines, IL 60141-3030 | 2008-04-22 |
| 1508060716 | Sharla Janeen Parker | Spec/Tech, Pathology | 5th & Roosevelt, Hines, IL 60141 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073017679 | Nicholas M Moore | Spec/Tech, Pathology | 1653 W Congress Pkwy Ste 1173, Chicago, IL 60612-3833 | 2018-03-20 |
| 1497280291 | Guinevere B Reserva | Spec/Tech, Pathology | 515 Sawmill Ct, Rochester, IL 62563-6057 | 2017-04-29 |
| 1689069189 | Lucas Quinlan | Spec/Tech, Pathology | 2172 County Road 3500 N, Ludlow, IL 60949-6028 | 2015-04-01 |
| 1346591260 | Timothy Leland Toner | Spec/Tech, Pathology | 304 N Dixon St, Rankin, IL 60960-7057 | 2012-10-02 |
| 1518232537 | Dana White | Spec/Tech, Pathology | 27 Bonniebrook Rd, Chatham, IL 62629-1066 | 2012-03-09 |
| 1720378524 | Star Lab, Inc | Spec/Tech, Pathology | 9213 Parklane Ave, Franklin Park, IL 60131-2837 | 2011-04-13 |
| 1942746185 | Marlon Pemberton | Spec/Tech, Pathology | 1604 Visa Dr Ste 1, Normal, IL 61761-2195 | 2017-01-11 |
| 1093070880 | Marbie Downen | Spec/Tech, Pathology | 801 S West St, Executive Center Suite 123, Olney, IL 62450-1334 | 2012-07-09 |
| 1508139734 | Carlomagno A Ore | Spec/Tech, Pathology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2012-02-19 |
| 1427241504 | Sarah Elizabeth Intravaia | Spec/Tech, Pathology | 2401 W Main St, Marion, IL 62959-1188 | 2007-08-22 |
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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.