Michele M Smith (NPI# 1124215058, PAC ID# 1355437716) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1124215058 |
| PAC ID by PECOS | 1355437716 |
| Professional Enrollment ID | I20071016000182 |
| Full Name | Michele M Smith |
| Organization Legal Name | I-SPINE LLC |
| Address |
230 E Day Rd Suite 180 Mishawaka IN 46545-3463 |
| Phone Number | 5742147504 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2365513033 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150177 | UNITY MEDICAL AND SURGICAL HOSPITAL |
| 150076 | SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH |
| 150026 | GOSHEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 230 E Day Rd, Suite 180, Mishawaka, IN 46545-3463 | 5742147504 | I-SPINE LLC |
| 1904 Lake Ave, Plymouth, IN 46563-7828 | 5742147504 | I-SPINE LLC |
| Organization Legal Name | I-SPINE LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Luke Watts | Orthopedic Surgery | I-spine LLC | 5218 Beck Dr, Suite 9and10, Elkhart, IN 46516-9121 |
| V Durga Madhusudana Murthy Rao | Orthopedic Surgery | I-spine LLC | 230 E Day Rd, Suite 180, Mishawaka, IN 46545-3463 |
| Andrew J Losiniecki | Neurosurgery | I-spine LLC | 5218 Beck Dr, Suite 9and10, Elkhart, IN 46516-9121 |
| Jamie E Gottlieb | Orthopedic Surgery | I-spine LLC | 5218 Beck Dr, Suite 9and10, Elkhart, IN 46516-9121 |
| Street Address |
230 E DAY RD SUITE 180 |
| City | MISHAWAKA |
| State | IN |
| Zip | 46545-3463 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Baxter | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Jan E Warner | Psychologist, Clinical | David F Sonego Md PC and Associates | 230 E Day Rd, Suite 160, Mishawaka, IN 46545-3463 |
| Shannan E Brown | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Richard David Weiss | Ophthalmology | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Hugh J Van Auken Sr. | Psychologist, Clinical | David F Sonego Md PC and Associates | 230 E Day Rd, Suite 160, Mishawaka, IN 46545-3463 |
| Timothy H Blankenbeker | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| V Durga Madhusudana Murthy Rao | Orthopedic Surgery | I-spine LLC | 230 E Day Rd, Suite 180, Mishawaka, IN 46545-3463 |
| Kevin A Danahey | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Kevin R Baxter | Ophthalmology | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Pamela M Wise | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marielvea A Banks | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Sean R Horner | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Rami Musleh | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Meghan M Barrus | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Ann M Grubb | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Duane M Wampler | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Eugene Huang | Emergency Medicine | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Steven D Whaley | Anesthesiology | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Angela Blagojevski | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Danny E Winn | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Find all physicians in zip 46545 | |||
| City | MISHAWAKA |
| Zip Code | 46545 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MISHAWAKA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michele M Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.