MALLORY MICHELLE SMITH (NPI# 1831465384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831465384 |
| Entity Type | Individual |
| Full Name | MALLORY MICHELLE SMITH |
| Credential | M.D. |
| Practice Address |
409 Rhodes Ave Earle AR 72331-2136 |
| Practice Telephone | 8705140733 |
| Mailing Telephone | 8705140733 |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891314530 | Mallory E Smith | Behavioral Analyst | 401 S Mount Juliet Rd Ste 235-118, Mt Juliet, TN 37122-6359 | 2020-04-13 |
| 1609334630 | Mallory Lynne Smith | Nurse Practitioner | 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 | 2019-03-08 |
| 1720561160 | Mallory Smith | Nurse Practitioner | 7880 Lincole Pl, Lisbon, OH 44432-8322 | 2018-09-12 |
| 1306337399 | Mallory K Smith | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Tc 1910/spc 5314, Ann Arbor, MI 48109-5000 | 2018-05-24 |
| 1235673583 | Mallory Smith | Counselor | 8351 N High St Ste 155, Columbus, OH 43235-1440 | 2016-12-06 |
| 1528305794 | Mallory Smith | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2013-01-08 |
| 1285988352 | Mallory Raye Smith | Behavioral Analyst | 1835 E Guadalupe Rd, Suite #103, Tempe, AZ 85283-3277 | 2012-10-29 |
| 1568406437 | Mallory Smith | Emergency Medicine | 125 Memorial Dr, Reidsville, GA 30453-4641 | 2006-06-15 |
| Street Address |
409 RHODES AVE |
| City | EARLE |
| State | AR |
| Zip Code | 72331-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508082074 | Hyter Rezell Alexander | Counselor | 320 Lee Street, Earle, AR 72331 | 2007-04-17 |
| 1225185499 | Rhonda Laster | Counselor | 320 Lee Ave, Earle, AR 72331 | 2007-01-03 |
| 1437367745 | Earle School District | Speech-Language Pathologist | 1401 3rd St, Earle, AR 72331-1353 | 2007-05-18 |
| 1942418819 | Hyman Vision Clinic | Optometrist | 710 Commerce St, Earle, AR 72331-1419 | 2007-05-21 |
| 1619051737 | Fongs Drugs | Pharmacy | 621 Commerce St, Earle, AR 72331-1616 | 2006-10-25 |
| 1649734310 | Carol Riley Clark | Pharmacist | 621 Commerce St, Earle, AR 72331-1616 | 2019-01-28 |
| 1841321940 | Carol Clark | Pharmacy | 621 Commerce St, Earle, AR 72331-1616 | 2007-03-08 |
| 1619011186 | Jessie J Fong | Pharmacist | 621 Commerce St, Earle, AR 72331-1616 | 2007-02-17 |
| 1639319411 | Sudesh Banaji Md Pllc | Family Medicine | 1605 Second Street, Earle, AR 72331-1634 | 2009-03-06 |
| 1205899572 | Purnima Sarkar | Internal Medicine | 1605 2nd St, Earle, AR 72331-1634 | 2006-04-08 |
| Find all providers in zip 72331 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686571 | Prachi Saluja | Student in an Organized Health Care Education/Training Program | 2400 Riverfront Dr Apt 424, Little Rock, AR 72202-2219 | 2020-07-16 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1407470263 | Cara Shelby | Student in an Organized Health Care Education/Training Program | 2505 Rannoch Ln, Fort Smith, AR 72908-0960 | 2020-06-07 |
| 1306460456 | Vidhu Vadini | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 634, University of Arkansas For, Little Rock, AR 77205 | 2020-06-04 |
| 1952922676 | Rachel Brehm | Student in an Organized Health Care Education/Training Program | 19048 Woodridge Rd, Garfield, AR 72732-9780 | 2020-05-04 |
| 1396366381 | Tyrel Larsen | Student in an Organized Health Care Education/Training Program | 15731 Coose Hollow Dr, Rogers, AR 72756-8966 | 2020-04-30 |
| 1194346304 | Toni Cecil | Student in an Organized Health Care Education/Training Program | 4505 Mockernut Ln, Jonesboro, AR 72405-7848 | 2020-04-28 |
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1629697982 | Avril Alison Parker | Student in an Organized Health Care Education/Training Program | 1301 S Madison St, Jonesboro, AR 72401-4047 | 2020-04-15 |
| 1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
| Find all providers with the same taxonomy | ||||
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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.