Renaldas Algirdas Smidtas

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0069486 Issued in FL

Legal business name

RENALDAS ALGIRDAS SMIDTAS

Practice address

413 5TH Ave NW
Jasper, FL 32052-7800

Phone

(386) 792-0753

NPI assigned

Mar 19, 2008

Last updated

Jun 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Renaldas A Smidtas, MDNPI 1568571263

Title

Owner

Phone

(386) 792-0753

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Renaldas Algirdas Smidtas

  • Internal Medicine Physician
  • Live Oak, FL
  • NPI 1215110192

  O20110630000032

  Same enrollment

Tax ID family

Renaldas Algirdas Smidtas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Renaldas Algirdas Smidtas

  • Internal Medicine Physician
  • Live Oak, FL
  • NPI 1215110192
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Renaldas Smidtas, MD

  • Internal Medicine Physician
  • Jasper, FL
  • NPI 1568571263
  Medicare reassignment NPD Authorized official
• Elizabeth Kathryn Newman, ARNP

  • Primary Care Nurse Practitioner
  • Lake City, FL
  • NPI 1083736615
  NPD (past)

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1104097963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 NW 5TH AVE",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "32052",
            "telephone_number": "386-792-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 5TH AVE NW",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "320527800",
            "telephone_number": "386-792-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENALDAS ALGIRDAS SMIDTAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "SMIDTAS",
        "authorized_official_first_name": "RENALDAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-792-0753",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0069486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pollock & Pollock Consulting, LLC
• Dwight Pollock, AMS1
• April Puentes
• Quality Phlebotomy LLC
• Anjana Rana, M.D.
• Joshua Richardson
• Denise Marie Selph, LMT
• Greta R Smidt
• Renaldas Smidtas, MD
• Smith Caring Transport,LLC

• Internal Medicine Physician in Jasper, FL
• Providers in Jasper, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.