DR. KEENAN SMART


Address: 1500 W Ashland St, Nevada, MO 64772-1710
Phone: 8006549605

DR. KEENAN SMART (NPI# 1790120483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790120483
Entity Type Individual
Full Name DR. KEENAN SMART
Credential M.D.
Practice Address 1500 W Ashland St
Nevada
MO 64772-1710
Practice Telephone 8006549605
Enumeration Date 2013-05-08
Last Update Date 2018-04-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
30061 OK Allopathic & Osteopathic Physicians
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
MD177523 OR Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1500 W ASHLAND ST
City NEVADA
State MO
Zip Code 64772-1710

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528069101 Great Plains Hospital Inc Psychiatric Hospital 1500 W Ashland St, Nevada, MO 64772-1710 2005-08-09
1144831496 Danielle Leann Rolph Counselor 1500 W Ashland St, Nevada, MO 64772-1710 2020-08-11
1821628249 Clara Michelle Lynn Sands Social Worker 1500 W Ashland St, Nevada, MO 64772-1710 2020-01-24
1316594559 Renee Sydney Pendleton Nurse Practitioner 1500 W Ashland St, Nevada, MO 64772-1710 2019-08-22
1386205896 Kelsey D. Tomlin Social Worker 1500 W Ashland St, Nevada, MO 64772-1710 2019-06-25
1972167773 Great Plains Hospital Psychologist 1500 W Ashland St, Nevada, MO 64772-1710 2019-04-26
1295291672 Jennifer K Doyle Counselor 1500 W Ashland St, Nevada, MO 64772-1710 2019-02-11
1285125179 Cynthia Graham I Counselor 1500 W Ashland St, Nevada, MO 64772-1710 2018-05-25
1386133130 Megan Kathleen Finkentey Social Worker 1500 W Ashland St, Nevada, MO 64772-1710 2018-05-08
1831617687 Chrystie Lyn Braden Counselor 1500 W Ashland St, Nevada, MO 64772-1710 2017-08-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184116170 Elizabeth Hoang Dentist 14054 Us-54, Nevada, MO 64772 2018-06-05
1376056424 Chelsea Deines Social Worker 19940 S. 1481 Road, Nevada, MO 64772 2017-11-13
1558712422 Ozark Tri County Healthcare Consortium Dentist 204 N Cedar, Nevada, MO 64772 2016-06-22
1144605312 Nevada City Hospital Clinic/Center 627 S Ash St Ste B, Nevada, MO 64772 2015-07-29
1205233129 Julie Ann Parker Dental Hygienist 204 North Cedar, Nevada, MO 64772 2014-11-20
1023432101 Ashley Mckinney Speech-Language Pathologist 811 W Hickory, Nevada, MO 64772 2014-02-11
1477975183 Krc 1505 Health Care Services LLC Assisted Living Facility 1505 East Ashland Street, Nevada, MO 64772 2014-01-15
1649520727 Kathy J Hallam Registered Nurse 320 N Mac Boulevard, Nevada, MO 64772 2012-09-14
1396090916 Emily Lane Speech-Language Pathologist 16927 S 1413 Rd, Nevada, MO 64772 2012-07-19
1427385517 Nevada City Hospital Clinic/Center 345 S Barrett Ln., Nevada, MO 64772 2009-11-10
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245436765 Rene Marie Duregger Psychiatry & Neurology 1500 W Ashland St, Nevada, MO 64772-1710 2007-06-22
1114061694 Abdul Mateen Psychiatry & Neurology 1500 W Ashland St, Nevada, MO 64772-1710 2007-02-16
1326013228 Candice A. Moore Psychiatry & Neurology 815 S Ash St, Nevada, MO 64772-3222 2006-02-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477194645 Lotus Medical Associates LLC Psychiatry & Neurology 5100 Oak St Apt 433, Kansas City, MO 64112-2969 2019-09-30
1174008023 East Central Missouri Behavioral Health Services, Inc. Psychiatry & Neurology 581 Commons Drive, Fulton, MO 65251 2018-09-26
1730622929 Judith Hood Mckelvey Psychiatry & Neurology 9861 Copper Hill Rd, Saint Louis, MO 63124-1063 2016-11-21
1548664964 Melody Ann Boling Psychiatry & Neurology 1 Hospital Dr # Dc067.00, Department of Psychiatry, Columbia, MO 65212-1000 2014-10-14
1629332259 Oksana Baram Psychiatry & Neurology 10420 Old Olive Street Rd Ste 204, Saint Louis, MO 63141-5938 2012-06-28
1912293861 Barbara Buchanan Psychiatry & Neurology 16760 S Village Dr, Village of Loch Lloyd, MO 64012-4166 2011-06-20
1710187539 Danielle Mcgovern Bradshaw Psychiatry & Neurology 1101 E Hw 54, Womens Eastern Reception Diagnostic and Correctional Ce, Vandalia, MO 63382 2007-07-19
1689881567 Pearl Fisher Serota Psychiatry & Neurology 621 S New Ballas Rd Ste 693a, Saint Louis, MO 63141-8263 2007-05-17
1154536100 Rekha Ramanuja Psychiatry & Neurology 1220 N Lindbergh Blvd, Saint Louis, MO 63132-1704 2007-05-13
1649325390 Clifton A Smith Psychiatry & Neurology 5931 S Highway 94, Weldon Spring, MO 63304-5611 2007-01-24
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Competitor

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City NEVADA
Zip Code 64772

Improve Information

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Dataset Information

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.

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