IAN MICHAEL SMITH (NPI# 1922630607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922630607 |
| Entity Type | Individual |
| Full Name | IAN MICHAEL SMITH |
| Practice Address |
2275 Sommers Rd Lake St Louis MO 63367-6406 |
| Mailing Address |
110 Rock Bridge Rd Villa Ridge MO 63089-2006 |
| Practice Telephone | 6365610075 |
| Mailing Telephone | 6362210091 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2017022695 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6309 Ronald Reagan Dr, Lake St Louis, MO 633672681 | 6367554566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821330044 | Ian Smith | Emergency Medicine | 6431 Fannin St Fl 4, Houston, TX 77030-1501 | 2013-03-26 |
| 1497779698 | Ian Robert Smith | Dentist | 691 Wyoming Ave, Kingston, PA 18704-3831 | 2006-07-27 |
| 1821610981 | Ian Rutherford Smith | Emergency Medicine | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-05-12 |
| 1518593474 | Ian Wesley Smith | Student in an Organized Health Care Education/Training Program | 200 University Pkwy, Yakima, WA 98901-9539 | 2020-03-22 |
| 1114480407 | Ian Anthony Smith | Community Health Worker | 529 Courtlandt Ave, Bronx, NY 10451-5007 | 2019-04-12 |
| 1780153551 | Ian C Smith | Counselor | 705 W La Veta Ave, Orange, CA 92868-4402 | 2018-11-21 |
| 1811466337 | Ian Smith | Behavior Technician | 12110 Huffmeister Rd., Cypress, TX 77429-7742 | 2018-11-14 |
| 1164901120 | Ian M Smith | Physical Therapy Assistant | 1525 W Caro Rd, Caro, MI 48723-9686 | 2018-08-10 |
| 1982116828 | Ian Smith | Behavior Technician | 4201 Varsity Dr, Ann Arbor, MI 48108-5005 | 2017-11-01 |
| 1780125617 | Ian Smith | Counselor | 1225 W Beaver St, Suite 210, Jacksonville, FL 32204-1414 | 2017-03-11 |
| Street Address |
2275 SOMMERS RD |
| City | LAKE ST LOUIS |
| State | MO |
| Zip Code | 63367-6406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295376697 | Stacy Brown | Counselor | 1216 Flagstone Terrace, Lake St. Louis, MO 63367 | 2019-10-07 |
| 1083172449 | Katie D Schmidt | Nurse Practitioner | 300 Medical Plz Ste 150, Lake St Louis, MO 63367 | 2019-03-05 |
| 1932639739 | Eren Taylor-scaggs | Social Worker | 112 Lake St. Louis Blvd, Lake St. Louis, MO 63367 | 2017-06-14 |
| 1184169203 | Be The Change Counseling Services | Community/Behavioral Health | 206 Centre On The Lake, Lake St. Louis, MO 63367 | 2016-12-28 |
| 1568812535 | Brittanie Weinhaus | Family Medicine | 6261 Ronald Regan Dr Ste #b19, Lake St. Louis, MO 63367 | 2016-06-20 |
| 1821445099 | Matt Beamer | Skilled Nursing Facility | 2885 Technology Drive, Lake St. Louis, MO 63367 | 2016-05-18 |
| 1710349642 | Jennifer Gandolfo | Early Intervention Provider Agency | 710 Abbottsford Ct., Lake St. Louis, MO 63367 | 2016-03-21 |
| 1760862361 | Joaquin Francisco Sumaya | Chiropractor | 11104 Veterans Memorial Pkwy., Lake Saint Louis, MO 63367 | 2015-06-09 |
| 1619214566 | Daniel Scott Terry | Counselor | 1000 Edgewater Pt Ste 401, Lake St Louis, MO 63367 | 2013-01-12 |
| 1437415551 | Cherie Jean Coletta | Nurse Practitioner | 100 Medical Plaza Dr, Emergency Department, Lake Saint Louis, MO 63367 | 2012-04-03 |
| Find all providers in zip 63367 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051516 | Kangjun Lee | Specialist/Technologist | 901 S. National Ave., Springfield, MO 65897 | 2020-10-20 |
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1548868334 | Alexander Kenneth Hollingsworth | Specialist/Technologist | 1904 Franklin Ave, Lexington, MO 64067-1705 | 2020-10-13 |
| 1164020335 | Taylor Fumagalli | Specialist/Technologist | 1421 Woodstone Dr, Saint Charles, MO 63304-6866 | 2020-10-11 |
| 1265039192 | Carley M Swabby | Specialist/Technologist | 652 Bismark Ave, Saint Louis, MO 63119-1528 | 2020-10-05 |
| 1275144891 | Tiffany Hallacy | Specialist/Technologist | 5014 Walnut St Apt D, Kansas City, MO 64112-2641 | 2020-08-17 |
| 1306464011 | Dustin Flynn | Specialist/Technologist | 541 Huntley Heights Dr, Ballwin, MO 63021-5884 | 2020-07-09 |
| 1851916878 | Olivia Marie Bogolin | Specialist/Technologist | 111 Timber Trace Xing, Wentzville, MO 63385-2124 | 2020-06-15 |
| 1417571464 | Jessica Burgason | Specialist/Technologist | 24173 State Highway F, Kirksville, MO 63501-8009 | 2020-06-05 |
| 1225651664 | Ashley Marie Garlock | Specialist/Technologist | 1308 S Halliburton St, Kirksville, MO 63501-4456 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ST LOUIS |
| Zip Code | 63367 |
Please comment or provide details below to improve the information on IAN MICHAEL 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.