DR. MARK ALAN SMOTHERS (NPI# 1902938624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902938624 |
| Entity Type | Individual |
| Full Name | DR. MARK ALAN SMOTHERS |
| Credential | M.D. |
| Practice Address |
239 Bowling Green Rd Lexington MS 39095-5167 |
| Practice Telephone | 6628341321 |
| Practice Fax Number | 6628345240 |
| Mailing Telephone | 6628341321 |
| Mailing Fax Number | 6628345240 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2017-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
16296 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0122914 | 05 | |
| MS | RAILROAD MEDICARE PTAN | 930115308 | 01 |
| Street Address |
239 BOWLING GREEN RD |
| City | LEXINGTON |
| State | MS |
| Zip Code | 39095-5167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700872173 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2005-09-21 |
| 1083035422 | Leslee S Loden | Occupational Therapist | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2014-01-03 |
| 1770864381 | Amy Chapman Johnson | Nurse Practitioner | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2011-09-09 |
| 1518149723 | Univ Hospital Holmes County | Clinic/Center | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2007-11-29 |
| 1821297961 | Keith I Stokes | Family Medicine | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2007-07-17 |
| 1124142559 | Mickey Aldridge | Nurse Practitioner | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2007-03-19 |
| 1457401788 | William Scott Elwood | Family Medicine | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2007-01-11 |
| 1033204383 | Jolynn M White | Nurse Practitioner | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2006-10-03 |
| 1013020395 | Umc Hosptial Clinics | Emergency Medicine | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2006-08-17 |
| 1841200771 | Frank A. Brown | Internal Medicine | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295282358 | Mallory Community Health | Clinic/Center | 9749 Brozville Road, Lexington, MS 39095 | 2016-09-07 |
| 1336596170 | Telehealthone, LLC | Nurse Practitioner | 301 Yazoo Street, Lexington, MS 39095 | 2016-05-23 |
| 1740624881 | Mallory Community Health | Clinic/Center | 300 Yazoo Street, Lexington, MS 39095 | 2013-04-19 |
| 1912245671 | Ciera N Draine | Social Worker | Dr Arenia C Mallory Community Health Center, 17280 Highway 17 S, Lexington, MS 39095 | 2013-01-30 |
| 1184933384 | John D. Whitehead | Durable Medical Equipment & Medical Supplies | 22743 Hwy 12, Lexington, MS 39095 | 2010-10-05 |
| 1942536552 | Durant Primary Care Clinic | Clinic/Center | 22741 Bowling Green Rd, Lexington, MS 39095 | 2009-11-02 |
| 1205082963 | Heather Killebrew Tutor, Dmd, Pa | Dentist | 302 Court Square, Lexington, MS 39095 | 2008-08-13 |
| 1023145430 | Charles D Howard | Dentist | 102 Wall St, Lexington, MS 39095 | 2007-02-27 |
| 1619069622 | Charles Walton Campbell | Family Medicine | 102 Carrollton St, Lexington, MS 39095 | 2006-09-28 |
| 1972617876 | Lexington Primary Care | Clinic/Center | 110 Tchula Street, Lexington Primary Care, Lexington, MS 39095 | 2006-08-18 |
| Find all providers in zip 39095 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558336396 | Leland J Irwin | Emergency Medicine | 1740 Nicholasville Road, Lexington, KY 40503 | 2006-02-22 |
| 1932175072 | Mark A Spanier | Emergency Medicine | 1740 Nicholasville Rd, Central Baptist Hospital Emergency Room, Lexington, KY 40503 | 2006-02-28 |
| 1366418410 | Eric I Ruschman | Emergency Medicine | 1740 Nicholasville Rd, Central Baptist Hospital Emergency Room, Lexington, KY 40503 | 2006-02-28 |
| 1912973967 | Dirk B Thacker | Emergency Medicine | 1740 Nicholasville Rd, Central Baptist Hospital Emergency Room, Lexington, KY 40503 | 2006-02-28 |
| 1023084092 | Hollis R Hilty | Emergency Medicine | 1740 Nicholasville Road, Lexington, KY 40503 | 2006-02-28 |
| 1629043518 | Robert B Matheny Jr. | Emergency Medicine | 1740 Nicholasville Rd, Central Baptist Hospital Emergency Room, Lexington, KY 40503 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568603330 | Charmaine Lillian Mccleave | Emergency Medicine | 69 Jackson Rd, Hattiesburg, MS 39402 | 2009-03-09 |
| 1144344151 | David L. Merideth | Emergency Medicine | 407b W Parkway Pl, Ridgeland, MS 39157-6031 | 2007-03-16 |
| 1184755308 | Amy B Davis | Emergency Medicine | 121 Pratt Dr Ste 1a, Corinth, MS 38834-6026 | 2007-03-08 |
| 1114087483 | David Butler Johnson | Emergency Medicine | 806 Crestview Dr, Yazoo City, MS 39194-2511 | 2006-12-09 |
| 1952323073 | Pratt Family Medical Clinic, P.a. | Emergency Medicine | 121 Pratt Drive, Suite 1 A, Corinth, MS 38834 | 2006-07-25 |
| 1730106600 | Sean Brian Appleyard | Emergency Medicine | Hancock Medical Center--emergency Dept, 149 Drink Water Blvd, Bay St. Loois, MS 39520 | 2006-07-16 |
| 1699703389 | Lisa D Anderson | Emergency Medicine | 935 Highway 51, Madison, MS 39110-8407 | 2006-06-29 |
| 1265486450 | Emmanuel Kpabitey | Emergency Medicine | 110 Yazoo Ave Ste 121, Clarksdale, MS 38614-4397 | 2006-05-20 |
| 1184614984 | Harvie D Harrier | Emergency Medicine | 114 E Percy St, Bed On The Bayou Cottage B, Indianola, MS 38751-2443 | 2005-10-24 |
| 1669904058 | Daniel Krebs | Emergency Medicine | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2017-04-03 |
| 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.