Jessie D Smith (NPI# 1003918319, PAC ID# 5092764696) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1003918319 |
| PAC ID by PECOS | 5092764696 |
| Professional Enrollment ID | I20050121000104 |
| Full Name | Jessie D Smith |
| Address |
115 S 15th Ave Suite C Pocatello ID 83201-4068 |
| Gender | M |
| Credential | DC |
| Medical School | WESTERN STATES COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1995 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130028 | PORTNEUF MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 115 S 15th Ave, Suite C, Pocatello, ID 83201-4068 |
| Street Address |
115 S 15TH AVE SUITE C |
| City | POCATELLO |
| State | ID |
| Zip | 83201-4068 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Wise | Family Medicine | 115 S 15th Ave, Pocatello, ID 83201-4068 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Flicker | Physical Therapy | 2839 Margo Ln, Pocatello, ID 83201-1961 | |
| Michael D Lance | Psychiatry | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Kenneth A Cogen | Nephrology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Randall J Skeem | Internal Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Martha Elizabeth Franz | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| John L Shuss | General Surgery | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Ciara C Christensen | Clinical Psychologist | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Robin L Hall | Nurse Practitioner | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Laurence L Martens | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Terry J Buccambuso | Diagnostic Radiology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Find all physicians in zip 83201 | |||
| City | POCATELLO |
| Zip Code | 83201 |
| Specialty | CHIROPRACTIC |
| City + Specialty | POCATELLO + CHIROPRACTIC |
Please comment or provide details below to improve the information on Jessie D 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.