JACK D SMITH (NPI# 1891780581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891780581 |
| Entity Type | Individual |
| Full Name | JACK D SMITH |
| Credential | M.D. |
| Practice Address |
133 Donohoe Rd Greensburg PA 15601-6986 |
| Mailing Address |
520 Jefferson Ave Suite 400 Jeannette PA 15644-2538 |
| Practice Telephone | 7248344448 |
| Practice Fax Number | 7248348563 |
| Mailing Telephone | 7245278060 |
| Mailing Fax Number | 7245224002 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2017-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD015396E | PA | Other Service Providers |
| N | 207X00000X | Orthopaedic Surgery | MD015396E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0017304600002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669885687 | Jack Smith | Social Worker | 933 Sw 3rd St, Moore, OK 73160-2261 | 2014-06-06 |
| 1659450773 | Jack Steven Smith | Chiropractor | 1815 W Missouri Ave Ste 102, Phoenix, AZ 85015-3047 | 2006-11-02 |
| 1043248818 | Jack Dale Smith | Urology | 1321 Cottonwood St, Suite 302, Woodland, CA 95695-5131 | 2006-06-29 |
| 1528036704 | Jack Bradley Smith | Physician Assistant | 4401 W Memorial Rd, Oklahoma City, OK 73134-1785 | 2006-03-14 |
| 1538133426 | Jack Dempsey Smith | Dentist | 2919 Colony Rd, Durham, NC 27705-5595 | 2006-02-15 |
| 1346687720 | Jack Michael Smith | Physical Medicine & Rehabilitation | 1100 Grampian Blvd, Williamsport, PA 17701 | 2013-05-26 |
| 1952593691 | Jack W. Smith | Family Medicine | 5111 Leesburg Pike, Skyline 5, Suite 601, Falls Church, VA 22041-3251 | 2007-08-16 |
| 1710191564 | Jack Smith | Counselor | 15040 S Ravinia Ave Ste 44, Orland Park, IL 60462-3173 | 2007-05-10 |
| 1356489462 | Jack Brian Smith | Dentist | 160 Three Rivers Dr Ne, Ste. 1600, Rome, GA 30161-2303 | 2007-02-01 |
| 1871538041 | Jack Coldwell Smith IIi | Internal Medicine | 409 Cottage Rd, Carthage, TX 75633-1466 | 2006-06-19 |
| Street Address |
133 DONOHOE RD |
| City | GREENSBURG |
| State | PA |
| Zip Code | 15601-6986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376949412 | Kristina Hendrick | Physical Therapist | 133 Donohoe Rd, Greensburg, PA 15601-7921 | 2014-11-18 |
| 1073938700 | Elizabeth Clabrese | Physical Therapist | 133 Donohoe Rd, Greensburg, PA 15601-7921 | 2014-03-05 |
| 1992139919 | Theodore John Slowik | Physical Therapist | 133 Donohoe Rd, Greensburg, PA 15601-7921 | 2013-08-27 |
| 1437403276 | Heather Alysia Ryan | Physical Therapist | 133 Donohoe Rd, Greensburg, PA 15601-7921 | 2012-11-01 |
| 1013268374 | Hannah M. Ploss | Physical Therapy Assistant | 133 Donohoe Rd, Greensburg, PA 15601-7921 | 2012-09-27 |
| 1598090474 | Jeremy John Walton | Physical Therapist | 133 Donohoe Rd, Greensburg, PA 15601-7921 | 2009-10-09 |
| 1154570133 | Jamie Elizabeth Dunlap | Physical Therapist | 133 Donohoe Rd, Greensburg, PA 15601-7921 | 2008-09-15 |
| 1851420442 | Jack D. Smith, Md, Ltd | Specialist | 133 Donohoe Rd, Greensburg, PA 15601-6986 | 2007-03-02 |
| 1619029543 | George Michael Hutnik Iv | Chiropractor | 133 Donohoe Rd, Greensburg, PA 15601-7921 | 2007-01-18 |
| 1548289952 | William F Shine Jr. | Chiropractor | 133 Donohoe Rd, Greensburg, PA 15601-6986 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274128 | Chelsea Anne Lyle | Counselor | Yaroch Counseling, 437 S Maple Ave, Greensburg, PA 15601 | 2020-10-26 |
| 1538649280 | Valor Healthcare Inc | Nurse Practitioner | 5274 Route 30 East, Suite 10, Greensburg, PA 15601 | 2018-08-21 |
| 1285121889 | Eugene Flenner Jr. | Orthotist | 3 Gibraltar Way, Greensburg, PA 15601 | 2018-04-18 |
| 1417461724 | Westmoreland County Area Agency On Aging | Case Management | 200 South Main St., Greensburg, PA 15601 | 2017-11-22 |
| 1225549769 | Beth Ann Marie Schmidle | Nurse Practitioner | 540 South Street - Medical Commons 2, Suite 302, Greensburg, PA 15601 | 2017-10-23 |
| 1386167138 | Connections Counseling of Western Pa | Community/Behavioral Health | 231 S Main Street, Suite 404, Greensburg, PA 15601 | 2017-07-24 |
| 1164963112 | Cory Kunicky | Counselor | 333 Harvey Avenue, Greensburgh, PA 15601 | 2017-03-10 |
| 1801348826 | Flow Spine & Sport LLC | Chiropractor | 123 Donohoe Drive, Greensburg, PA 15601 | 2016-10-25 |
| 1235583402 | Marc James Aukerman | Chiropractor | 424 Frye Farm Road, Greensburg, PA 15601 | 2016-04-14 |
| 1336502806 | Claire Campero | Counselor | One Northgate Square Ste 200, Greensburg, PA 15601 | 2016-04-01 |
| Find all providers in zip 15601 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053777979 | Ryan Sean Tubbs | Specialist | 4345 Pa-136, Hempfield Area School District, Greensburg, PA 15601 | 2016-01-07 |
| 1467867879 | Lisa Jean Brose | Specialist | 4345 Route 136, Greensburg, PA 15601-6411 | 2014-06-24 |
| 1831358589 | Altru Physical Therapy, Inc. | Specialist | 524 E Pittsburgh St, Greensburg, PA 15601-2606 | 2008-06-07 |
| 1164497160 | Michael J Rutigliano | Specialist | Rr 7 Box 259f, Frye Farm Road, Greensburg, PA 15601-9569 | 2006-02-22 |
| 1346210598 | Theodore A Lazzaro | Specialist | One Aesthetic Way, Greensburg, PA 15601 | 2006-01-23 |
| 1255326583 | David O Steffensen | Specialist | 726 Lindwood Dr, Greensburg, PA 15601-7711 | 2005-09-13 |
| 1679575419 | William T Newman | Specialist | Rr 12 Box 100, Suite C, Greensburg, PA 15601-9347 | 2005-08-11 |
| 1285630319 | Laurel Anesthesia Associates, PC | Specialist | 1 Aesthetic Way, Greensburg, PA 15601-9500 | 2005-06-23 |
| 1730185943 | Steven F Wodzinski | Specialist | 562 Shearer St, Medical Arts Bldg., Ste 203, Greensburg, PA 15601-2746 | 2005-06-22 |
| 1437419751 | Westmoreland Cardiovascular Research, LLC | Specialist | 44 S Washington Ave, Greensburg, PA 15601-2768 | 2012-05-21 |
| Find all providers in GREENSBURG | ||||
| City | GREENSBURG |
| Zip Code | 15601 |
Please comment or provide details below to improve the information on JACK D 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.