Raymond W Smith, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

24208 Issued in OK

Practice address

1301 E Lincoln Rd
Idabel, OK 74745-7300

Phone

(580) 208-3159

NPI assigned

Aug 15, 2005

Last updated

Jun 30, 2010By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Spencer Municipal Hospital

  dba Milford Family Care

  • Clinic/Center
  • Milford, IA
  • NPI 1396732186
  Medicare reassignment NPD
• Spencer Municipal Hospital

  dba Hartley Family Care of Spencer Hospital

  • Clinic/Center
  • Hartley, IA
  • NPI 1225767338
  NPD
• Spencer Municipal Hospital

  dba Sioux Rapids Family Care

  • Clinic/Center
  • Sioux Rapids, IA
  • NPI 1538156039
  NPD
• Digital Radiology Services, LLC

  • Specialist
  • Wichita, KS
  • NPI 1386678076
  NPD (past)
• Hastings Radiology Associates PC

  • Diagnostic Radiology Physician
  • Hastings, NE
  • NPI 1710079462
  NPD (past)
• Radiology Associates of Hays, P.a.

  • Diagnostic Radiology Physician
  • Hays, KS
  • NPI 1073659017
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1194727685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457300",
            "telephone_number": "580-208-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457300",
            "telephone_number": "580-208-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RAYMOND",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "424834",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "24208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100165840B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Simer
• Lashay Mickle Sims
• Christopher Skelton, P.T.
• Jennifer Nicole Skieens
• Joseph Stanley Smith, PHARMD
• Southeastern Oklahoma Family Services, Inc.
• Southeastern Oklahoma Outpatient Rehab
• Southern Oklahoma Treatment Serices, Inc.
• Southern Oklahoma Treatment Services, Inc.
• Charity Stafford, SLP

• Diagnostic Radiology Physician in Idabel, OK
• Providers in Idabel, OK by specialty
• Diagnostic Radiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.

Verify at the official NPI Registry.