G. BRUCE SMITH (NPI# 1841342698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841342698 |
| Entity Type | Individual |
| Full Name | G. BRUCE SMITH |
| Credential | M.D. |
| Practice Address |
301 S 320th St Federal Way WA 98003-5200 |
| Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
| Practice Telephone | 2538747000 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MD00017838 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8427304 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589954 | G. Kyle Smith | Specialist | 212 Hospital Dr, Washington, GA 30673-5619 | 2005-06-22 |
| Street Address |
301 S 320TH ST |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699764472 | Tina M. Hawley | Family Medicine | 301 S 320th St, Federal Way, WA 98003-5200 | 2005-10-14 |
| 1578020707 | Edith S Chan | Social Worker | 301 S 320th St, Federal Way, WA 98003-5200 | 2019-02-24 |
| 1902335292 | Diana Suwah Trinh | Physician Assistant | 301 S 320th St, Federal Way, WA 98003-5200 | 2017-06-08 |
| 1891101531 | Lateef Johnson Harper | Family Medicine | 301 S 320th St, Federal Way, WA 98003-5200 | 2014-07-02 |
| 1720408172 | Kelly Johnson | Physician Assistant | 301 S 320th St, Federal Way, WA 98003-5200 | 2014-04-24 |
| 1588091730 | Amy Marie Coppeans | Nurse Practitioner | 301 S 320th St, Federal Way, WA 98003-5200 | 2013-10-02 |
| 1740523794 | Derek Lin | Internal Medicine | 301 S 320th St, Federal Way, WA 98003-5200 | 2013-03-28 |
| 1588911978 | Kathryn Dunphy Lent | Physical Therapist | 301 S 320th St, Federal Way, WA 98003-5200 | 2012-08-06 |
| 1780968883 | Elizabeth Kathleen Shuckhart | Physician Assistant | 301 S 320th St, Federal Way, WA 98003-5200 | 2011-10-06 |
| 1215228283 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 301 S 320th St, Federal Way, WA 98003-5200 | 2011-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750433033 | Gregory D. Vaughan | Family Medicine | 301 S 320th St, Federal Way, WA 98003-5200 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599273 | Etherton, Inc | Family Medicine | 2610 Yelm Hwy Se, Olympia, WA 98501-4826 | 2020-02-10 |
| 1205494291 | Reah Ann Tobola | Family Medicine | 4602 78th Avenue Ct W, University Place, WA 98466-3036 | 2019-06-04 |
| 1760909055 | Washington State University | Family Medicine | 1455 Ne Cougar Way Bohler Complex, Pullman, WA 99164-0001 | 2017-08-28 |
| 1275057655 | Choice Family Medicine LLC | Family Medicine | 135 Thorne St, Walla Walla, WA 99362-3142 | 2017-07-27 |
| 1366826240 | Andrew Parker | Family Medicine | 3324 Bernie Rd, Camano Island, WA 98282-8217 | 2015-07-10 |
| 1538572151 | Daniel Joseph Cevetello | Family Medicine | 127 Ne Camano Dr Ste A, Camano Island, WA 98282-8732 | 2014-06-11 |
| 1417205618 | John Gary Meyer | Family Medicine | 5715 48th St W, University Place, WA 98467-3677 | 2012-08-17 |
| 1932347119 | Iris Crawford | Family Medicine | 4208 Leary Way, Seattle, WA 98107 | 2009-01-27 |
| 1497925226 | Ingeborg Espinosa Cox | Family Medicine | 325 9th Ave # 359739, Seattle, WA 98104-2420 | 2008-03-07 |
| 1174791974 | Kenneth J Ritter Md Pllc | Family Medicine | 1310 South Union, A-201, Tacoma, WA 98405 | 2008-02-14 |
| Find all providers with the same taxonomy | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
Please comment or provide details below to improve the information on G. BRUCE SMITH.
| 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.