Active NPI
Russel N Smith III, MD
- Family Medicine Physician
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 59098491205
- Practice address
- 5900 Coliseum Blvd
Alexandria, LA 71303-3714 - Phone
- (318) 386-8110
- NPI assigned
- Mar 30, 2006
- Last updated
- Oct 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 59098491205 | UT | Primary |
Addresses
Primary practice location
5900 Coliseum Blvd
Alexandria, LA 71303-3714
Mailing address
201 Sunrise Rd
Jonesville, LA 71343-5308
Phone (318) 758-1469
Other practice location 1
210 W 300 N
75-3
Roosevelt, UT 84066-2336
Phone (435) 722-3971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D6204 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, MS, LA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 W 300
75 2
Roosevelt, UT 84066-2336
Phone (435) 722-4691
309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4000
3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122
5900 Coliseum Blvd
Alexandria, LA 71303-3714
Phone (713) 357-2535
Hospital & facility affiliations
- Alexandria Hospital
- Fmol Health St Francis
- Christus St Frances Cabrini Hospital
- Uintah Basin Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.47 of 100
- Improvement activities
- 40
- Cost
- 73.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59098491205 | UT | MD | Family Medicine Physician |
Practice roles
Locations
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917
5900 Coliseum Blvd
Alexandria, LA 71303
Phone (318) 386-8110
2351 Viking Dr
Bossier City, LA 71111
Phone (318) 681-4500
524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455
309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000
309 Jackson St
#C
Monroe, LA 71201
Phone (318) 966-4171
1102 N Pine Rd
Olla, LA 71465
Phone (318) 495-5302
401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100
2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482
150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389
1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000
2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001
50 E 200 S
Duchesne, UT 84021
Phone (435) 738-2426
210 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691
210 W 300 N
#753
Roosevelt, UT 84066
Phone (435) 722-3971
250 W 300 N
#752
Roosevelt, UT 84066
Phone (435) 722-4691
150 W 100 N
Vernal, UT 84078
Phone (435) 789-3342
Interoperability endpoints
- rsmith16365@direct.casso.us.com
Organizations & group practices 21
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Alexandria, LA
- NPI 1396304499
-
- Emergency Medical Services (Emergency Medicine) Physician
- Monroe, LA
- NPI 1386235331
-
- Emergency Medicine Physician
- Alexandria, LA
- NPI 1407448186
-
- General Acute Care Hospital
- Roosevelt, UT
- NPI 1871556217
-
- Emergency Medicine Physician
- Alexandria, LA
- NPI 1306889092
-
dba Franklin Medical Center
- Rural Acute Care Hospital
- Winnsboro, LA
- NPI 1619143120
-
- Emergency Medicine Physician
- Winnsboro, LA
- NPI 1538515135
-
dba Hardtner Medical Center
- Critical Access Hospital
- Olla, LA
- NPI 1184815466
-
dba Northern Louisiana Physicians LLP
- Emergency Medicine Physician
- Ruston, LA
- NPI 1588828172
-
- Emergency Medicine Physician
- Lake Charles, LA
- NPI 1396253407
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1730687740
-
- Emergency Medicine Physician
- Vernal, UT
- NPI 1093294563
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Alexandria Emergency Hospital
- General Acute Care Hospital
- Alexandria, LA
- NPI 1619444353
-
dba Pollock SBHC
- Student Health Clinic/Center
- Pollock, LA
- NPI 1013037431
Hospital
-
dba Lessie Moore SBHC
- Student Health Clinic/Center
- Pineville, LA
- NPI 1023139458
Hospital
-
dba Tioga High SBHC
- Student Health Clinic/Center
- Pineville, LA
- NPI 1093836421
Hospital
-
dba Provencal SBHC
- Student Health Clinic/Center
- Provencal, LA
- NPI 1164687307
Hospital
-
dba Avoyelles Charter SBHC
- Student Health Clinic/Center
- Mansura, LA
- NPI 1225157050
Hospital
-
dba Buckeye SBHC
- Student Health Clinic/Center
- Deville, LA
- NPI 1285755611
Hospital
-
dba Natchitoches Central SBHC
- Student Health Clinic/Center
- Natchitoches, LA
- NPI 1356462782
Hospital
-
dba Glenmora SBHC
- Student Health Clinic/Center
- Glenmora, LA
- NPI 1376664706
Hospital
-
dba Jena Junior High SBHC
- Student Health Clinic/Center
- Jena, LA
- NPI 1467573899
Hospital
-
dba Jena High SBHC
- Student Health Clinic/Center
- Jena, LA
- NPI 1558482984
Hospital
-
dba Marthaville SBHC
- Student Health Clinic/Center
- Marthaville, LA
- NPI 1609031962
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1184685158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 SUNRISE RD",
"city": "JONESVILLE",
"state": "LA",
"postal_code": "713435308",
"telephone_number": "318-758-1469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 COLISEUM BLVD",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033714",
"telephone_number": "318-386-8110"
}
],
"practiceLocations": [
{
"address_1": "210 W 300 N",
"address_2": "75-3",
"address_purpose": "LOCATION",
"city": "Roosevelt",
"state": "UT",
"postal_code": "840662336",
"country_code": "US",
"telephone_number": "435-722-3971",
"fax_number": "435-722-6104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "RUSSEL",
"middle_name": "N",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "59098491205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D6204",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.