Randall J Smith, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

01025491B Issued in IN

Practice address

6345 S East St
#A
Indianapolis, IN 46227-7107

Phone

(317) 783-7474

NPI assigned

Dec 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Midwest Medical Management, P.C.

  • Emergency Medicine Physician
  • Terre Haute, IN
  • NPI 1417996430
  NPD (past)
• Midwest Medical Management, P.C.

  • Emergency Medicine Physician
  • Bedford, IN
  • NPI 1831138734
  NPD (past)
• Nufinity, LLC

  • Vascular & Interventional Radiology Physician
  • Lafayette, IN
  • NPI 1477506319
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184782757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 SPIRIT LAKE DR",
            "address_2": "SUITE 401",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462207132",
            "telephone_number": "317-253-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 S EAST ST",
            "address_2": "#A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277107",
            "telephone_number": "317-783-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RANDALL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01025491B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline Smith, NP
• Priscilla Smith
• Rachel Smith, PHARMD, BCACP
• Rachel Smith, MS, LMHC
• Raleigh Joseph Smith
• Raymond Clifford Smith, ICAADAIV
• Rebecca Jillane Smith, MD
• Rebecca Kay Smith, NP
• Rebecca R Smith, PA-C
• Rennett Delois Smith, RN

• Emergency Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.