JUSTIN W SMITH (NPI# 1962682351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962682351 |
| Entity Type | Individual |
| Full Name | JUSTIN W SMITH |
| Credential | MD |
| Practice Address |
12340 State Route 104 Waverly OH 45690-8968 |
| Practice Telephone | 7409415150 |
| Mailing Telephone | 7409415150 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2010-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35.093541 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578034237 | Justin Bengt Smith | Psychologist | 270 E Highway 246, Buellton, CA 93427-9669 | 2018-12-06 |
| 1851820773 | Justin Michael Smith | Registered Nurse | 333 Smith Ave N # Mr 60229, Saint Paul, MN 55102-2344 | 2017-06-05 |
| 1841678281 | Justin Smith | Specialist/Technologist | 1088 75th St, Amery, WI 54001-5220 | 2015-05-18 |
| 1225450984 | Justin L. Smith | Counselor | 100 E Somerset Church Rd, Somerset, KY 42503-4977 | 2014-01-15 |
| 1154671394 | Justin Smith | Contractor | 2104 Elizabeth Ave, Zion, IL 60099-2731 | 2012-09-14 |
| 1598015828 | Justin Smith | Nurse Practitioner | 1113 Church St, Conway, SC 29526-4128 | 2012-09-13 |
| 1144591306 | Justin Michael Smith | Technician, Other | 1436 S Irving St, Apartment A-321, Denver, CO 80219-3957 | 2012-01-19 |
| 1992005037 | Justin William Smith | Case Manager/Care Coordinator | 1355 E. Main, Batesville, AR 72501 | 2010-10-22 |
| 1497061634 | Justin R Smith | Dentist | 2407 Saint Andrews Blvd, Panama City, FL 32405-2170 | 2010-08-25 |
| 1245556307 | Justin William Smith | Internal Medicine | 273 Winton Blount Loop, Montgomery, AL 36117-3507 | 2010-04-14 |
| Street Address |
12340 STATE ROUTE 104 |
| City | WAVERLY |
| State | OH |
| Zip Code | 45690-8968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437176286 | Harry T Kittaka | Family Medicine | 12340 State Route 104, Waverly, OH 45690-8968 | 2006-07-17 |
| 1003351024 | Carie Lynn Johnson | Registered Nurse | 12340 State Route 104, Waverly, OH 45690-8968 | 2016-12-29 |
| 1518306646 | Melissa Castellano Flores | Nurse Practitioner | 12340 State Route 104, Waverly, OH 45690-8968 | 2013-06-21 |
| 1174869572 | Angelina Aileen Hardiesty-kelley | Registered Nurse | 12340 State Route 104, Waverly, OH 45690-8968 | 2012-12-13 |
| 1124205505 | Anthony Shane Wells | Specialist/Technologist | 12340 State Route 104, Waverly, OH 45690-8968 | 2008-01-28 |
| 1710164686 | Adena Health System | Clinic/Center | 12340 State Route 104, Waverly, OH 45690-8968 | 2008-01-23 |
| 1811174832 | Adena Health System | Family Medicine | 12340 State Route 104, Waverly, OH 45690-8968 | 2008-01-22 |
| 1255475349 | Amy Leigh Mcnaughton | Nurse Practitioner | 12340 State Route 104, Waverly, OH 45690-8968 | 2007-02-20 |
| 1811915978 | Scott E Howard | Family Medicine | 12340 State Route 104, Waverly, OH 45690-8968 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767181 | Brandie Mustard | Homemaker | 3018 My Tabor Rd, Waverly, OH 45690 | 2020-10-15 |
| 1225661168 | Kyle Colley | Counselor | 14574 Us Hughway 23, Waverly, OH 45690 | 2020-02-19 |
| 1366082513 | Ryan Rawlins | Counselor | 14574 St. Rt. 23, Waverly, OH 45690 | 2020-01-15 |
| 1700424140 | Jaime Wooldridge | Counselor | 14532 St. Rt. 23, Waverly, OH 45690 | 2019-12-17 |
| 1518513415 | Jacquelyn Irene Sprouse | Counselor | 217 Emmitt Ave, Waverly, OH 45690 | 2019-08-15 |
| 1639634850 | Krista K Leeth | Counselor | 14532 Us Hwy 23, 14534 Us Hwy 23, Waverly, OH 45690 | 2019-02-01 |
| 1881196244 | Kevin Michael Reichert | Counselor | Pike County Recovery Council, 218 East North Street, Waverly, OH 45690 | 2018-03-01 |
| 1619483179 | Ticia Lewis | Counselor | 14532 State Route 23, Waverly, OH 45690 | 2017-12-20 |
| 1205342136 | Criston B Evans | Licensed Practical Nurse | 14532 Us Highway 23, Waverly, OH 45690 | 2017-12-14 |
| 1447763313 | Jody Ryan Colley | Counselor | 14572 St. Rt. 23, Waverly, OH 45690 | 2017-11-14 |
| Find all providers in zip 45690 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205906245 | Pike Medical Inc | Internal Medicine | 13800 Us Route 23 North, Waverly, OH 45690-9373 | 2006-11-08 |
| 1801835962 | Noel R Dominguez | Internal Medicine | 209 West Main Street, Waverly, TN 37185 | 2006-06-05 |
| 1952355679 | David Eugene Roddy | Internal Medicine | 100 Dawn Lane, Ste 4, Waverly, OH 45690 | 2006-05-19 |
| 1740265081 | Daniel K Madsen | Internal Medicine | 13800 Us Rt 23 N, Waverly, OH 45690 | 2005-12-09 |
| 1730239021 | Ahmed M Mosalem | Internal Medicine | 227 Valley View Dr, Waverly, OH 45690-9135 | 2007-01-11 |
| 1316926082 | David J Rathe | Internal Medicine | 312 9th St Sw, Suite 1200, Waverly, IA 50677-2929 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151660 | Health Monitoring Solutions | Internal Medicine | 15400 Pearl Rd Ste 230, Strongsville, OH 44136-6001 | 2020-10-12 |
| 1386250975 | Strong Healthcare Solutions LLC | Internal Medicine | 4105 Emmajean Rd, Toledo, OH 43607-1073 | 2020-09-18 |
| 1972115277 | Basel Bazerbachi | Internal Medicine | Cleveland Clinic Foundation 9500 Euclid Ave Na-23, Cleveland, OH 44195-0001 | 2020-08-18 |
| 1174131312 | Hyr Medical Inc | Internal Medicine | 675 Alpha Dr, Highland Heights, OH 44143-2139 | 2020-07-14 |
| 1447878806 | Sprholdings, LLC | Internal Medicine | 885 Damon Dr, Medina, OH 44256-2009 | 2020-07-10 |
| 1720609217 | Willglowe Health Services, Inc | Internal Medicine | 2201 E Maple St, North Canton, OH 44720-9997 | 2020-05-06 |
| 1316567209 | Maria Veronica De Torres Mirano-de Guzman | Internal Medicine | St. Elizabeth Youngstown Hospital, Department of Medic, 1044 Belmont Ave, Youngstown, OH 44501 | 2020-04-21 |
| 1386263614 | Gene Thomas Michael | Internal Medicine | 2401 N Columbus St Ste 260, Lancaster, OH 43130-8296 | 2020-04-16 |
| 1184244485 | Imthiaz Mohammed Khan | Internal Medicine | 2405 N Columbus St Ste 260, Lancaster, OH 43130-8100 | 2020-04-16 |
| 1710506670 | Shyam Patel | Internal Medicine | 381 Summit Ave, Steubenville, OH 43952 | 2020-04-10 |
| 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.