DR. JEFFREY L SMITH (NPI# 1982612107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982612107 |
Entity Type | Individual |
Full Name | DR. JEFFREY L SMITH |
Credential | MD |
Practice Address |
1202 Martin Luther King Jr Way Tacoma WA 98405-3926 |
Mailing Address |
1019 Pacific Ave Ste 300 Attn: Credentialing Tacoma WA 98402-4488 |
Practice Telephone | 2535897030 |
Practice Fax Number | 2535897033 |
Mailing Telephone | 2537221540 |
Mailing Fax Number | 2535974556 |
Enumeration Date | 2006-08-03 |
Last Update Date | 2017-08-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | MD00032170 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 8175333 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437768207 | Jeffrey Michael Smith | Nurse Practitioner | 96 Sutton St, Northbridge, MA 01534-1003 | 2020-07-28 |
1558989582 | Jeffrey Smith | Registered Nurse | 9200 Basil Ct Ste 100, Upper Marlboro, MD 20774-5309 | 2020-07-07 |
1447723101 | Jeffrey Clinton Smith | Massage Therapist | 254 W Palmer Lake Dr, Pueblo West, CO 81007-2877 | 2019-01-05 |
1518457738 | Jeffrey David Smith | Student in an Organized Health Care Education/Training Program | 1400 Locust Street Ermire, Suite 11516, Pittsburgh, PA 15219-5114 | 2018-05-14 |
1992252100 | Jeffrey Smith | Community/Behavioral Health | 99 Royal Vista Dr Unit 408, Branson, MO 65616-6237 | 2016-09-06 |
1790132900 | Jeffrey Smith | Registered Nurse | 209 Cedar Grove Dr, Youngsville, LA 70592-5853 | 2016-05-17 |
1538586680 | Jeffrey Smith II | Counselor | 3300 N Tenaya Way Apt 2087, Las Vegas, NV 89129-7416 | 2014-03-26 |
1710316773 | Jeffrey Smith | Registered Nurse | 273 Hundred Oaks Pkwy, Summerville, SC 29483-8193 | 2013-11-10 |
1487901583 | Jeffrey Dean Smith Jr. | Licensed Vocational Nurse | 1782 W Columbia Way, Hanford, CA 93230-1104 | 2012-08-07 |
1326315870 | Jeffrey Paul Smith | Physical Therapy Assistant | 1625 Ocala Ave, Johnstown, PA 15902-3526 | 2011-11-29 |
Street Address |
1202 MARTIN LUTHER KING JR WAY |
City | TACOMA |
State | WA |
Zip Code | 98405-3926 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619955424 | James G Lenhart | Emergency Medicine | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2006-01-03 |
1164039707 | Josephine Eshun | Nurse Practitioner | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-09-28 |
1164035010 | Andrea Jordan | Nurse Practitioner | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-08-28 |
1417586777 | Tor Anderson | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-07 |
1023647302 | Ariahnna Lynne Nietzke | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-07 |
1982233292 | Joshua Monson | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-07 |
1871122317 | Marina Leith | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-06 |
1174152169 | Charlee Rhea Abboud | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-02 |
1609401272 | Mitsy Chester | Dental Hygienist | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-03-04 |
1700425543 | Renjitha James | Pharmacist | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2019-12-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
Find all providers in zip 98405 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023534286 | Willa Alise Marinov | Family Medicine | 9040 Jackson Avenue Department of Family Medicine, Tacoma, WA 98431-0001 | 2017-08-19 |
1487186789 | Winnie Kirkpatrick Tsai | Family Medicine | 320 N Tacoma Ave Apt 502, Tacoma, WA 98403-2764 | 2017-03-28 |
1861842775 | Jessica Coulter | Family Medicine | Madigan Army Hospital 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2016-06-21 |
1770945065 | Karen Schowalter | Family Medicine | 5741 N 26th St Unit 115, Tacoma, WA 98407 | 2016-03-24 |
1497139943 | Whitney Elizabeth Hine | Family Medicine | 1812 S Mildred St Ste H, Tacoma, WA 98465-1634 | 2015-07-15 |
1871998138 | Stephen B Hillis M.d., P.s.,inc. | Family Medicine | 1901 S Cedar St Ste 108, Tacoma, WA 98405-2302 | 2014-10-29 |
1487919965 | Angela Marie Dunn | Family Medicine | 9040 Jackson Ave Fmc, Tacoma, WA 98431-5600 | 2012-07-10 |
1760745988 | Mai Vi Ha Hoang | Family Medicine | 1717 Yakima Ave # Ms 01-36, Tacoma, WA 98405-4474 | 2012-06-21 |
1477831295 | Walton Preston Woodall Jr. | Family Medicine | 1102 N. Tacoma Ave, Tacoma, WA 98403-2931 | 2011-07-27 |
1063718492 | James M. Foss M. D. | Family Medicine | 13410 Pacific Ave S, Tacoma, WA 98444-4866 | 2011-02-02 |
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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.