Smith Lake Urgent Care, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SMITH LAKE URGENT CARE, LLC

Practice address

6610 Curry Hwy
Jasper, AL 35503-5664

Phone

(205) 387-7555

Fax

(205) 387-7551

NPI assigned

Jul 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jan Westerman, M.D.

Title

Director

Phone

(205) 387-7555

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1285832733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 SUMMIT DR.",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355010102",
            "telephone_number": "205-387-7555",
            "fax_number": "205-387-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 CURRY HWY",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355035664",
            "telephone_number": "205-387-7555",
            "fax_number": "205-387-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH LAKE URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "WESTERMAN",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "205-387-7555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529932857",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roy Lee Sims, MD
• Yuriy Skrubert, MD
• Whitney Sledge, CRNP
• Kindra Lea Sloan
• Smith Lake Family Care LLC
• Smith Lake Urgent Care, LLC
• Jana Smith
• Judson Wayne Smith, M.D.
• Lisa G Smith
• Pamela D Smith, ED.D.

• Clinic/Center in Jasper, AL
• Providers in Jasper, AL by specialty
• Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.