Andre Blair Smith (NPI# 1417920463, PAC ID# 6608905609) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1417920463 |
| PAC ID by PECOS | 6608905609 |
| Professional Enrollment ID | I20100601000639 |
| Full Name | Andre Blair Smith |
| Address |
6429 Earlington Ln Ingham Regional Assisted Living Lansing MI 48917-8279 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230230 | EDWARD W SPARROW HOSPITAL |
| 230092 | HENRY FORD ALLEGIANCE HEALTH |
| 230005 | EMMA L BIXBY MEDICAL CENTER |
| 230217 | OAKLAWN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6429 Earlington Ln, Ingham Regional Assisted Living, Lansing, MI 48917-8279 |
| Street Address |
6429 EARLINGTON LN INGHAM REGIONAL ASSISTED LIVING |
| City | LANSING |
| State | MI |
| Zip | 48917-8279 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jyothsna Yalavarthi | Internal Medicine | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Kathleen M Isley | Nurse Practitioner | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Madelon K Krissoff | Internal Medicine | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Stephanie M Horanic | Nurse Practitioner | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Francina N Chinodakufa | Hospitalist | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Heather L Wright | Family Medicine | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Saleh F Dyke | Family Medicine | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Jenelle B Kalvoda | Nurse Practitioner | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| James R Macbride | Family Medicine | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Elizabeth Anne Smith | Nurse Practitioner | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Find all physicians in zip 48917 | |||
| City | LANSING |
| Zip Code | 48917 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LANSING + FAMILY MEDICINE |
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| 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.