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Deactivated NPI 1861742058 Deactivated / Inactive NPI Female Practitioner

Christina Dora Smith , AESTHETICIAN

Specialist • Elyria, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Christina Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 14, 2012
NPI Deactivation Date July 20, 2022
Total Practice Duration ~10 Years of Practice (2012 – 2022)

Professional Overview & Biography Verified Profile Summary

Christina Smith, AESTHETICIAN was a registered Specialist practicing in Elyria, OH. Throughout an active medical career spanning 10 years, Christina Smith provided care at the practice location at 303 CHESTNUT COMMONS DR until profile deactivation on 2022-07-20.

Practice Location & Contact Primary Location

Practice Address

303 Chestnut Commons Dr

Elyria, OH 440359607

Telephone 4402047934
Fax 4403669444
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Elyria, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 44.3 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Elyria, OH (1444 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OH EST023244

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
NPI 1053948455

Physical Therapist, Doctor of Physical Therapy

NPI 1063602928

Doctor of Optometry, Master of Science

NPI 1104811090

Doctor of Audiology

NPI 1245810100

Doctor of Osteopathic Medicine (D.O.)

Nicholas Tuttle , PA-C

Physician Assistant - Medical

NPI 1275073793

Physician Assistant (Certified)

Dr. Evan Davis , PT, DPT

Physical Therapist

NPI 1417799065

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 20, 2022

Record deactivated on July 20, 2022

NPI Profile Active September 14, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 14, 2012

Registered at 303 CHESTNUT COMMONS DR, ELYRIA, OH 440359607 (Tel: 4402047934)

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Updated Business Mailing Address September 14, 2012

Registered at 303 CHESTNUT COMMONS DR, ELYRIA, OH 440359607 (Tel: 4402047934)

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Provider Name / Credentials Updated September 14, 2012

Recorded as CHRISTINA SMITH, AESTHETICIAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2012

Specialist (License #EST023244 in OH)

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Initial NPI Registration & Enumeration September 14, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861742058
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2012
Last Update: September 14, 2012
Deactivation Date: July 20, 2022

Mailing Address

303 Chestnut Commons Dr

Elyria, OH 440359607

Phone: 4402047934

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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