MR. MATHEW JAMES SMITH SR. (NPI# 1902076235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902076235 |
| Entity Type | Individual |
| Full Name | MR. MATHEW JAMES SMITH SR. |
| Credential | L.P.N , CPS |
| Practice Address |
9390 Ford Ave Ste 8 Richmond Hill GA 31324-6420 |
| Mailing Address |
4286 Harper Rd Metter GA 30439-6122 |
| Practice Telephone | 9127564713 |
| Mailing Telephone | 9126630733 |
| Mailing Fax Number | 9123039893 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN059437 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093787111 | Mathew Roos Smith | Physical Therapist | 727 N Nellis Blvd, Las Vegas, NV 89110-5384 | 2006-02-02 |
| 1306404579 | Mathew Van Smith | Student in an Organized Health Care Education/Training Program | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2019-06-03 |
| 1124462510 | Mathew Smith | Social Worker | 66 Boerum Pl, Brooklyn, NY 11201-5705 | 2013-04-29 |
| 1538260807 | Mathew Dean Smith | Obstetrics & Gynecology | 1105 Burleyson Rd, Dalton, GA 30720-3017 | 2006-09-26 |
| Street Address |
9390 FORD AVE STE 8 |
| City | RICHMOND HILL |
| State | GA |
| Zip Code | 31324-6420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389588 | Bryan Anderson | Physician Assistant | 8435 Vanguard Road, Fort Stewart, GA 31324 | 2018-09-10 |
| 1366941684 | Codie Wiley | Physician Assistant | Expercare Urgent Care 60 Exchange Street, Suite B7, Richmond Hill, GA 31324 | 2018-02-02 |
| 1174038145 | Shelly Stewart Childers | Nurse Practitioner | 2453 U.S. 17, Suite G, Richmond Hill, GA 31324 | 2017-12-12 |
| 1619495215 | Kristi Oxley | Nurse Practitioner | 2701 Us Hwy 17 Ste 1b, Richmond Hill, GA 31324 | 2017-09-03 |
| 1275062564 | Janice Tillman Gravitt | Registered Nurse | 60 Long Creek Lane, Richmond Hill, GA 31324 | 2017-06-08 |
| 1336680065 | Choice Care Medical | Durable Medical Equipment & Medical Supplies | 9390 Ford Ave Ste 9, Richmond Hill, GA 31324 | 2017-03-14 |
| 1750730263 | Haralabos Saltourides | Physical Therapy Assistant | 127 Carter Street, Richmond Hill, GA 31324 | 2016-06-06 |
| 1922462464 | Leia Edenfield | Student in an Organized Health Care Education/Training Program | 105 Balfour Dr, Richmond Hill, GA 31324 | 2016-04-11 |
| 1477931384 | Stephanie Eileen Banasik | Nurse Practitioner | 10200 Ford Ave. Ste. 101, Richmond Hill, GA 31324 | 2015-05-12 |
| 1962800771 | Kendra Seagraves | Nurse Practitioner | 9976 Ford Avenue, Richmond Hill, GA 31324 | 2014-12-10 |
| Find all providers in zip 31324 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225682941 | Sophia Piard Geffrard | Licensed Practical Nurse | 8614 135th St, Richmond Hill, NY 11418-1918 | 2019-07-31 |
| 1619481512 | Christaline Pierre | Licensed Practical Nurse | 11110 91st Ave, Richmond Hill, NY 11418-2305 | 2017-11-30 |
| 1992243190 | Simranjit Kaur | Licensed Practical Nurse | 11714 91st Ave, Richmond Hill, NY 11418-3105 | 2017-02-08 |
| 1902201023 | Rajkumarie Arjoon | Licensed Practical Nurse | 8739 133rd St, Richmond Hill, NY 11418-2810 | 2014-10-31 |
| 1518368315 | Juanita Beckwith | Licensed Practical Nurse | 165 Dove Drake Dr, Richmond Hill, GA 31324 | 2014-09-11 |
| 1942538889 | Loretta Paulette Bryant | Licensed Practical Nurse | 4915 Us Highway 17, Lot B 27, Richmond Hill, GA 31324-8808 | 2009-12-04 |
| 1144484114 | Lori D Richardson | Licensed Practical Nurse | 8724 109th St, 2nd Floor, Richmond Hill, NY 11418-2233 | 2008-07-17 |
| 1457541476 | Janell Purcell | Licensed Practical Nurse | 13614 Hillside Ave, Richmond Hill, NY 11418-1934 | 2007-07-26 |
| 1073114690 | Erika Yvonne Smith | Licensed Practical Nurse | 2451 A Hwy 17, Richmond Hill, GA 31324 | 2020-11-02 |
| 1205453529 | Debra Christiana Brown | Licensed Practical Nurse | 13020 89th Rd, Richmond Hill, NY 11418-3301 | 2020-07-02 |
| Find all providers in RICHMOND HILL | ||||
| City | RICHMOND HILL |
| Zip Code | 31324 |
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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.