DR. MICHELLE DEANN SMITH (NPI# 1871567578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871567578 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE DEANN SMITH |
| Credential | M.D. |
| Practice Address |
227 Burley Ave Hopkinsville KY 42240-8725 |
| Mailing Address |
102 W 18th St Hopkinsville KY 42240-1961 |
| Practice Telephone | 2708875640 |
| Practice Fax Number | 2708865371 |
| Mailing Telephone | 2707072100 |
| Mailing Fax Number | 2707072103 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
54389 | KY | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
26593 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 265938 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10755 Eagle Way Ste 202, Hopkinsville, KY 422408742 | 2708875640 | 2708865371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720694326 | Michelle Smith | Physician Assistant | 2330 Andrea Ct, Melbourne, FL 32934-7601 | 2020-09-18 |
| 1689288367 | Michelle Smith | Massage Therapist | 1230 Jayhil Dr, Minneola, FL 34715-5200 | 2020-09-01 |
| 1740806942 | Michelle N Smith | Registered Nurse | 1220 E. 2nd Avenue, Monmouth, IL 61462 | 2020-06-23 |
| 1891326377 | Michelle Smith | Registered Nurse | 609 Trees Dr, Cedar Hill, TX 75104-5084 | 2020-02-03 |
| 1285101758 | Michelle Smith | Counselor | 325 27th St, Dunbar, WV 25064-2211 | 2018-11-01 |
| 1467937060 | Michelle Smith | Counselor | 1509 Dorothy Nichols Ln Ste A-2, Smithville, TX 78957-1740 | 2018-09-28 |
| 1568940641 | Michelle Smith | Technician | 4914 7th St Nw # 1003, Washington, DC 20011-4002 | 2018-08-01 |
| 1588169551 | Michelle Sveiven Smith | Social Worker | 7064 W Point Douglas Rd S Ste 201, Cottage Grove, MN 55016-2691 | 2018-03-29 |
| 1568965770 | Michelle Leigh Smith | Counselor | 1580 R St, Penrose, CO 81240-9666 | 2018-03-14 |
| 1326554627 | Michelle Smith | Speech-Language Pathologist | 310 W Rockland Rd, Libertyville, IL 60048-2739 | 2017-12-21 |
| Street Address |
227 BURLEY AVE |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-8725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144750894 | Emily Denham Ward | Physician Assistant | 227 Burley Ave, Hopkinsville, KY 42240-8725 | 2017-06-15 |
| 1417240029 | Tanner Jackson Parrent | Dermatology | 227 Burley Ave, Hopkinsville, KY 42240-8725 | 2011-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629524913 | Forefront Dermatology, S.c. | Dermatology | 159 S. English Station Road, Louisville, KY 40245 | 2016-08-28 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1801893730 | Stuart Tobin | Dermatology | 740 S. Limestone, Rm L119, University of Kentucky, Ky Clinic, Lexington, KY 40536-0284 | 2005-07-07 |
| 1598135055 | Forefront Dermatology, S.c. | Dermatology | 100 Commerce Dr, C/o Brandenburg Diagnostic Center, Brandenburg, KY 40108 | 2015-09-28 |
| 1235343419 | Pikeville Dermatology & Cosmetic Center, Psc | Dermatology | 108 N Auxier Ave, Pikeville, KY 41501-9045 | 2007-05-09 |
| 1669426003 | Timothy R Lavender | Dermatology | 108 N Auxier Ave, Pikeville, KY 41501-9045 | 2006-05-20 |
| City | HOPKINSVILLE |
| Zip Code | 42240 |
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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.