Individual provider Active NPI

Lori S Smetana, MD

  • Obstetrics & Gynecology Physician
  • Spokane, WA
National Provider Identifier
1063404218
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD00033714 Issued in WA
Practice address
601 W 5TH Ave
Suite #301
Spokane, WA 99204-2714
Phone
(509) 455-8866
Fax
(509) 838-3411
NPI assigned
Aug 15, 2005
Last updated
Feb 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00033714 WA
Obstetrics & Gynecology Physician 207V00000X MD00033714 WA Primary

Addresses

Primary practice location

601 W 5TH Ave
Suite #301
Spokane, WA 99204-2714

Mailing address

601 W 5TH Ave
Suite #301
Spokane, WA 99204-2714
Phone (509) 455-8866

Other identifiers 3

IdentifierTypeStateIssuer
SM3651OtherWAASURIS
8192668MedicaidWA
A007OtherWATRIWEST

Other names 1

  • Lori Sayers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100629000704 WA Practitioner - Obstetrics/Gynecology 0547157760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Oklahoma College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obstetrix Medical Group of Washington Inc PSGroup PAC ID 3577451947, 32 clinicians

Practice addresses (Care Compare)

800 W 5TH Ave
Spokane, WA 99204-2803
Phone 80024338397746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00033714WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Washington Inc PS Obstetrics & Gynecology CurrentSince Jun 18, 2017 Accepting new patients
Seattle Nuclear Medicine-Ultrasound Associates Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

900 Pacific Ave
Everett, WA 98201
Phone (425) 258-7900

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111

1229 Madison St
Ste 1150
Seattle, WA 98104
Phone (206) 386-2101

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1063404218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 5TH AVE",
            "address_2": "SUITE #301",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042714",
            "telephone_number": "509-455-8866",
            "fax_number": "509-838-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 5TH AVE",
            "address_2": "SUITE #301",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042714",
            "telephone_number": "509-455-8866",
            "fax_number": "509-838-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMETANA",
        "first_name": "LORI",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00033714",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00033714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASURIS",
            "identifier": "SM3651",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8192668",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "A007",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "SAYERS",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.