DR. JAY DONALD SMITH (NPI# 1811919202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811919202 |
| Entity Type | Individual |
| Full Name | DR. JAY DONALD SMITH |
| Credential | M.D. |
| Practice Address |
11 W Ridge Dr West Hartford CT 06117-2047 |
| Practice Telephone | 8602362929 |
| Practice Fax Number | 8602362920 |
| Mailing Telephone | 8602362929 |
| Mailing Fax Number | 8602362920 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2011-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 11268 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891021077 | Jay Andrew Smith | Psychologist | 582 Mallard Point Dr, North Aurora, IL 60542-1281 | 2009-10-23 |
| 1881874139 | Jay Smith | Dentist | 314 Powhattan Ave, Essington, PA 19029-1311 | 2007-11-05 |
| 1972676211 | Jay P Smith | Social Worker | 200 Springs Rd Bldg 78, Bedford, MA 01730-1114 | 2006-11-16 |
| 1699702399 | Jay Darren Smith | Chiropractor | 2716 Cleveland Ave Nw, Canton, OH 44709-3310 | 2006-06-27 |
| 1992749055 | Jay H Smith | Chiropractor | 151 N Hanover St, Pottstown, PA 19464-5459 | 2006-06-16 |
| 1518957489 | Jay Arthur Smith | Physical Therapist | 2226 Market St, Ste C, Mount Vernon, WA 98273-5451 | 2005-10-24 |
| 1912404740 | Jay Smith | Behavior Technician | 500 Bi County Blvd Ste 450, Farmingdale, NY 11735-3995 | 2018-04-09 |
| 1073982088 | Jay Smith | Physician Assistant | 1825 Eastchester Rd, Bronx, NY 10461-2301 | 2015-09-20 |
| 1053577098 | Jay W. Smith | Nurse Anesthetist, Certified Registered | 2100 Se Blue Pkwy, Lees Summit, MO 64063-1007 | 2008-07-30 |
| 1134248362 | Jay Smith | Dentist | 999 Peachtree St Ne, Suite # 795, Atlanta, GA 30309 | 2007-03-28 |
| Street Address |
11 W RIDGE DR |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117-2047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154817237 | Mmp Therapy and Consulting | Community/Behavioral Health | 2475 Albany Avenue, West Hartford, CT 06117 | 2018-07-02 |
| 1669856555 | Noah Joseph Bluestone | Psychologist | 68 Soutth Main St, Suite 202, West Hartford, CT 06117 | 2015-07-10 |
| 1487040747 | Nancy Cabelus | Registered Nurse | 1678 Asylum Ave. Room 317, University of St. Joseph, West Hartford, CT 06117 | 2015-04-13 |
| 1124384276 | Louis Brown | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 164 Orchard Rd, West Hartford, CT 06117 | 2012-04-03 |
| 1720282882 | Ruth Kahn | Psychologist | 54 Mountain Brook Road, West Hartford, CT 06117 | 2007-06-13 |
| 1437370426 | Dana Orthodontics PC | Dentist | 2446 Albany Avenue, West Hartford, CT 06117 | 2007-05-01 |
| 1972723146 | Michelle Payson | Occupational Therapist | One Abrahms Boulevard, West Hartford, CT 06117 | 2007-04-27 |
| 1457579583 | Kathy A Mccloskey | Psychologist | 200 Bloomfield Avenue, University of Hartford, West Hartford, CT 06117 | 2007-04-23 |
| 1427181585 | Nancy L White | Naturopath | 10 Crossroads Plaza, West Hartford, CT 06117 | 2007-03-14 |
| 1689743452 | August C Olivar | Obstetrics & Gynecology | 2437 Albany Avenue, Suite 202, West Hartford, CT 06117 | 2006-11-07 |
| Find all providers in zip 06117 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891278529 | Viktoriya Anatolievna Stork | Family Medicine | 35 Danforth Ln, West Hartford, CT 06110-2436 | 2018-09-10 |
| 1780958058 | Srinivasulu Conjeevaram | Family Medicine | 11 Winthrop Rd, Apt 2a, West Hartford, CT 06110-1656 | 2012-03-02 |
| 1588815054 | Marc T Edwards | Family Medicine | 111 Hunter Dr, West Hartford, CT 06107-1018 | 2008-10-02 |
| 1811964752 | Steven W Luger | Family Medicine | 37 Miamis Road, West Hartford, CT 06117-5719 | 2006-02-28 |
| 1588661813 | Jesse Samuels | Family Medicine | 25 Cascade Rd, West Hartford, CT 06117-2006 | 2005-07-01 |
| 1306840640 | Jeffrey R Brown | Family Medicine | 445 South Main Street, West Hartford, CT 06110 | 2005-06-02 |
| 1407267214 | Florence Jaffa | Family Medicine | 336 N Main St, West Hartford, CT 06117-2675 | 2014-05-14 |
| 1255517249 | Igor Samegulin | Family Medicine | 74 Park Rd, West Hartford, CT 06119-1853 | 2008-01-21 |
| 1801071758 | J. Michael Herr Do LLC | Family Medicine | 45 S Main St, Suite 212, West Hartford, CT 06107-2402 | 2008-01-09 |
| 1043406812 | Judith M. Mascolo, Md, LLC | Family Medicine | 639 Park Rd, Ste 100, West Hartford, CT 06107-3443 | 2007-09-14 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06117 |
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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.