MARYANN MARIE SMITH (NPI# 1801363494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801363494 |
| Entity Type | Individual |
| Full Name | MARYANN MARIE SMITH |
| Practice Address |
8225 Lake St Bear Lake MI 49614 |
| Mailing Address |
6227 Frankfort Hwy Benzonia MI 49616-8632 |
| Practice Telephone | 2318643314 |
| Mailing Telephone | 3128829661 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2019-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8225 Lake St, Bear Lake, MI 49614 | 2318643314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205394947 | Maryann Smith | Nurse Practitioner | 2327 W Dewdrop Trl, Phoenix, AZ 85085-0719 | 2019-03-12 |
| 1548298706 | Maryann Smith | Advanced Practice Midwife | 1117 Sw Rum Island Ter, Fort White, FL 32038-2332 | 2006-06-28 |
| 1033561865 | Maryann Smith | Licensed Practical Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2016-07-05 |
| 1154797702 | Maryann Smith | Nurse Anesthetist, Certified Registered | 22101 Moross Rd, Detroit, MI 48236-2148 | 2015-08-18 |
| 1447410667 | Maryann Sarah Smith | Nutritionist | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2008-06-11 |
| 1639379019 | Maryann Smith | Social Worker | Corner of Lamont and Veterans Way, James H Quillen Va Medical Center, Mountain Home, TN 37684-4000 | 2007-07-23 |
| 1710097472 | Maryann E Smith | Emergency Medicine | 326 Washington St, Norwich, CT 06360 | 2006-08-30 |
| Street Address |
8225 LAKE ST |
| City | BEAR LAKE |
| State | MI |
| Zip Code | 49614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932199965 | Glenn Charles Griffiths | Family Medicine | 8225 Lake St, Bear Lake, MI 49614-9612 | 2005-10-21 |
| 1427156512 | Jacqueline J Norton | Physician Assistant | 8225 Lake St, Bear Lake, MI 49614 | 2006-09-20 |
| 1316040645 | Ellen Marie Herring | Nurse Practitioner | 8225 Lake St, Bear Lake, MI 49614 | 2006-09-05 |
| 1902851777 | Crystal Lake Clinic, P.C. | Family Medicine | 8225 Lake St, Bear Lake, MI 49614-9688 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902903396 | Karen R Schneider | Registered Nurse | 7861 Main St., Bear Lake, MI 49614 | 2006-09-20 |
| 1144212812 | Richmond Drug Inc | Pharmacy | 7717 Lake St, Bear Lake, MI 49614 | 2005-08-18 |
| 1780758391 | Norman Dale Olson | Family Medicine | 12521 Russell St, Bear Lake, MI 49614-0098 | 2006-11-17 |
| 1891887816 | Bearlake United Methodist Church | Voluntary or Charitable | 7861 Main St., Bearlake, MI 49614-0157 | 2006-09-28 |
| 1265588685 | Craig Phillip Harless | Dentist | 7659 Lake St, Bear Lake, MI 49614-9238 | 2007-01-26 |
| 1124480108 | Northwest Michigan Health Services, Inc. | Clinic/Center | 6433 8 Mile Rd, Bear Lake, MI 49614-9797 | 2016-03-28 |
| 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 |
|---|---|---|---|---|
| 1427156512 | Jacqueline J Norton | Physician Assistant | 8225 Lake St, Bear Lake, MI 49614 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022331 | Anna Lynn Shrift | Physician Assistant | 849 Black Hill Ln, Traverse City, MI 49696-8674 | 2020-10-27 |
| 1972102556 | Aaron Buckley | Physician Assistant | 567 Saint Louis St, Ferndale, MI 48220-2436 | 2020-10-23 |
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1801495023 | Keriah Khairi Abd | Physician Assistant | 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 | 2020-10-19 |
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1861090730 | Maloree Blayke Perkins | Physician Assistant | 20717 Coventry St, Clinton Twp, MI 48035-1603 | 2020-10-13 |
| 1801494000 | Sarah Puchala Lucero | Physician Assistant | 25614 Wilson Dr, Dearborn Heights, MI 48127-3427 | 2020-10-12 |
| 1871191007 | Julia Marie Tucker | Physician Assistant | 12250 E Ridge Dr, Bruce Twp, MI 48065-2011 | 2020-10-10 |
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1831796267 | Jowharh Zindani | Physician Assistant | 12020 Mitchell St, Hamtramck, MI 48212-2722 | 2020-10-08 |
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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.