GRACE SMITH (NPI# 1992306773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992306773 |
| Entity Type | Individual |
| Full Name | GRACE SMITH |
| Other Name | GRACE HOLZEM |
| Practice Address |
3001 W Dr Martin Luther King Jr Blvd Tampa FL 33607-6307 |
| Mailing Address |
500 Trinity Ln N Apt 2105 St Petersburg FL 33716-1231 |
| Practice Telephone | 8138704000 |
| Mailing Telephone | 2622295198 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548653009 | Grace Smith | Pharmacist | 124 West Washington Avenue, Ava, MO 65608 | 2015-03-09 |
| 1114104817 | Grace Kimburi Smith | Social Worker | 7895 Waterway Dr Nw Apt 306, Concord, NC 28027-4436 | 2008-01-24 |
| 1992310478 | Grace Smith | Radiologic Technologist | 2055 W 64th Pl, Merrillville, IN 46410-3114 | 2020-09-11 |
| 1508494410 | Grace Elizabeth Smith | Student in an Organized Health Care Education/Training Program | 128 E Apple St Fl 2, Dayton, OH 45409-2902 | 2020-03-28 |
| 1508419557 | Grace Annabelle Smith | Behavior Technician | 515 S 700 E # 2, Salt Lake City, UT 84102-2801 | 2019-07-18 |
| 1154882249 | Grace Elizabeth Smith | Counselor | 1963 4th Ave, San Diego, CA 92101-2394 | 2019-03-29 |
| 1801373030 | Grace Smith | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-07-20 |
| 1992201388 | Grace Smith | Behavioral Analyst | 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 | 2018-04-04 |
| 1164836599 | Grace Smith | Radiology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2014-06-13 |
| 1730328436 | Grace Marie Smith | Community Health Worker | 30 E Main St, Camden, TN 38320-1734 | 2009-02-19 |
| Street Address |
3001 W DR MARTIN LUTHER KING JR BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-6307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346242609 | Luis A Martinez-frontanilla | Surgery | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2005-06-01 |
| 1407454408 | Cary Panichello | Registered Nurse | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2020-10-12 |
| 1558978601 | Alyssa Wozniak | Registered Nurse | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2020-09-23 |
| 1245845270 | Marian Galang | Registered Nurse | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2020-09-15 |
| 1427674613 | Tampa Oncology and Proton LLC | Radiology | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2020-06-23 |
| 1679199939 | Diana Chung | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2020-06-23 |
| 1932736725 | Elizabeth Altenhofen | Internal Medicine | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2020-03-24 |
| 1053963702 | Kathryn Hale | Nurse Practitioner | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2019-07-12 |
| 1487127973 | Simona Dobos | Surgery | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2019-01-07 |
| 1568932747 | Rachel Lee Brooker | Nurse Practitioner | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710437561 | Alyssa Scheidecker | Anesthesiologist Assistant | 12305 Hawthorne View Court, Tampa, FL 33626 | 2016-10-05 |
| 1891039723 | Nicolle Marie Cushion Strikowski | Anesthesiologist Assistant | 14903 Barby Ave, Tampa, FL 33625-1530 | 2012-11-15 |
| 1790029643 | Amy Komarin | Anesthesiologist Assistant | 7036 Bonaventure Dr, Tampa, FL 33607-5814 | 2012-11-15 |
| 1891049375 | Melissa Dyann Miller | Anesthesiologist Assistant | 4805 W Laurel St, Suite 100, Tampa, FL 33607-4552 | 2012-11-05 |
| 1679199939 | Diana Chung | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2020-06-23 |
| 1548751530 | Casey A Weitzel | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2018-05-24 |
| 1972007177 | Vanessa Nikolovska | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2018-03-21 |
| 1538683503 | Morgan Mercedes Gonzalez | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2017-08-01 |
| 1013431154 | Julia Chung | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2017-07-31 |
| 1821511437 | Justin K. Jones | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2017-07-25 |
| Find all providers in TAMPA | ||||
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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.