Active NPI
Lori V Smithson, MD
- Diagnostic Radiology Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101033670
- Practice address
- 1508 Willow Lawn Dr
Ste 117
Richmond, VA 23230-3421 - Phone
- (804) 288-8102
- Fax
- (804) 282-3744
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 0101033670 | VA | |
| Neuroradiology Physician | 2085N0700X | 0101033670 | VA | |
| Nuclear Radiology Physician | 2085N0904X | 0101033670 | VA | |
| Pediatric Radiology Physician | 2085P0229X | 0101033670 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | 0101033670 | VA | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 0101033670 | VA | |
| Diagnostic Ultrasound Physician | 2085U0001X | 0101033670 | VA |
Addresses
Primary practice location
1508 Willow Lawn Dr
Ste 117
Richmond, VA 23230-3421
Mailing address
1508 Willow Lawn Dr
Ste 117
Richmond, VA 23230-3421
Phone (804) 288-8102
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043284672 | Medicaid | VA | |
| 224564 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101033670 | VA | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Radiology P C | Body Imaging | Current | Accepting new patients |
| MCV Associated Physicians | Pediatric Radiology | Past | Accepting new patients |
Locations
8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000
13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300
8013 Midlothian Tpke
North Chesterfield, VA 23235
Phone (804) 330-4600
5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220
2810 N Parham Rd
Ste 315
Richmond, VA 23294
1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700
1508 Willow Lawn Dr
Ste 117
Richmond, VA 23230
Phone (804) 288-8102
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1043284672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 WILLOW LAWN DR",
"address_2": "STE 117",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303421",
"telephone_number": "804-288-8102",
"fax_number": "804-282-3744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 WILLOW LAWN DR",
"address_2": "STE 117",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303421",
"telephone_number": "804-288-8102",
"fax_number": "804-282-3744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITHSON",
"first_name": "LORI",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "VA",
"license": "0101033670",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "VA",
"license": "0101033670",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "VA",
"license": "0101033670",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "VA",
"license": "0101033670",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101033670",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "VA",
"license": "0101033670",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "VA",
"license": "0101033670",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043284672",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "224564",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.