Gilbert D. Smith, M.D., LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

GILBERT D. SMITH, M.D., LLC

Practice address

2210 Barron Rd
Suite 219
Poplar Bluff, MO 63901-1908

Phone

(573) 686-2811

Fax

(573) 686-3441

NPI assigned

Jan 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gilbert D Smith, MD

Title

Owner

Phone

(573) 686-2811

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1225016884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 BARRON RD",
            "address_2": "SUITE 219",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639011908",
            "telephone_number": "573-686-2811",
            "fax_number": "573-686-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 BARRON RD",
            "address_2": "SUITE 219",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639011908",
            "telephone_number": "573-686-2811",
            "fax_number": "573-686-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT D. SMITH, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-686-2811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "R5B27",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500910708",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "596062703",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandros Georgolios, MD
• Matthew Douglas Geyer, PSY.D.
• Gibbs Wound Care LLC
• Devona J Gibbs, FNP
• James William Gieselmann, MD
• Gilbert D. Smith, MD, LLC
• Anderson Mark Gilberto, DDS
• Patty Taylor Gilberto, AUD
• Hallie Jean Gilmore Gates
• Michael Steven Ginsburg, DDS

• Rural Health Clinic/Center in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.