DR. GREGORY A SMITH (NPI# 1790722908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790722908 |
| Entity Type | Individual |
| Full Name | DR. GREGORY A SMITH |
| Credential | M.D. |
| Practice Address |
4455 Edison Lakes Pkwy Mishawaka IN 46545-1442 |
| Practice Telephone | 5742551400 |
| Practice Fax Number | 5742551840 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2012-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 01035910A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BLUE CROSS AND BLUE SHIELD | 600000068705 | 01 |
| IN | 100090490A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870635 | Gregory Robert Smith | In Home Supportive Care | 3954 Mount Vernon Blvd Apt 1b, Norton, OH 44203-9512 | 2020-10-28 |
| 1376012740 | Gregory Roy Smith Sr. | Counselor | Alleeweg 2, Velburg, BAVARIA 92355 | 2018-11-15 |
| 1609398528 | Gregory Allen Smith | Community Health Worker | 203 Clark Dr, Columbia, TN 38401 | 2017-07-12 |
| 1629503438 | Gregory Smith | Massage Therapist | 3819 Cambria Pl, Colorado Springs, CO 80918-2362 | 2017-04-29 |
| 1598120362 | Gregory Smith | Counselor | 2124 Moores Mill Rd, Auburn, AL 36830-8468 | 2015-12-22 |
| 1902270945 | Gregory Carleton Smith | Marriage & Family Therapist | 1924 4th Street, San Rafael, CA 94901 | 2015-11-13 |
| 1124414370 | Gregory Smith | Anesthesiology | 567 Sand Hill Rd, Wantagh, NY 11793-1312 | 2015-04-14 |
| 1033515762 | Gregory Allan Smith | Chiropractor | 1300 N Bryant Ave, Ste. 100, Moore, OK 73160 | 2014-11-06 |
| 1326450735 | Gregory Smith | Massage Therapist | 5029 Shaw Ave, Saint Louis, MO 63110-3021 | 2014-05-20 |
| 1972882603 | Gregory Douglas Smith | Pharmacist | 6580 Snowdrift Rd, Suite 100, Allentown, PA 18106-9331 | 2011-08-11 |
| Street Address |
4455 EDISON LAKES PKWY |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-1442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891787321 | United Surgeons LLC | Clinic/Center | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 | 2005-08-19 |
| 1023668423 | Labcorp Indiana Inc | Clinical Medical Laboratory | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1414 | 2019-09-17 |
| 1477094332 | Michael Poulsen | Registered Nurse | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 | 2017-03-13 |
| 1437600541 | Unity Hospitalist LLC | Hospitalist | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 | 2016-10-24 |
| 1932650181 | Daniel Aizigov | Registered Nurse | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 | 2016-10-21 |
| 1164896130 | Somnium Dme LLC | Durable Medical Equipment & Medical Supplies | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 | 2015-11-13 |
| 1689063497 | Cheryl Yancey | Registered Nurse | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 | 2015-01-16 |
| 1255732020 | Michael Myers | Pharmacist | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 | 2014-09-11 |
| 1225441975 | United Surgeons, LLC | Pharmacy | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 | 2014-06-10 |
| 1306194667 | Furhan Rashid Qureshi | Emergency Medicine | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 | 2012-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245283209 | Kenneth A. Jongsma | Anesthesiology | 5215 Holy Cross Pky, Mishawaka, IN 46545-1469 | 2006-05-18 |
| 1043291693 | River Bend Anesthesia, LLC | Anesthesiology | 215 W 4th St, Mishawaka, IN 46544-1917 | 2005-11-10 |
| 1346790235 | North American Partners In Anesthesia Indiana LLC | Anesthesiology | 250 E Day Rd, Suite 300, Mishawaka, IN 46545-3471 | 2016-10-04 |
| 1992115638 | Kyle A. Kownacki | Anesthesiology | 5215 Holy Cross Pkwy, Anesthesia Department, Mishawaka, IN 46545-1469 | 2014-05-02 |
| 1699111294 | David J Lee | Anesthesiology | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2013-05-22 |
| 1023451580 | Cody Scott Yerger | Anesthesiology | 5215 Holy Cross Pkwy, Mishawaka, IN 46545 | 2013-04-14 |
| 1740623719 | Andrew Renner | Anesthesiology | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2013-04-09 |
| 1629334214 | Robert L. Tokars | Anesthesiology | 5215 Holy Cross Pkwy, Mishawaka, IN 46545 | 2012-04-09 |
| 1164714556 | Kimberly Sue Van Elk | Anesthesiology | 5215 Holy Cross Pkwy, Mishawaka, IN 46545 | 2011-05-04 |
| 1306136650 | Mikhail M Galperin | Anesthesiology | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2011-04-07 |
| Find all providers in MISHAWAKA | ||||
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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.