Southern Osteoporosis Service

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD.018530 Issued in LA

Legal business name

SOUTHERN OSTEOPOROSIS SERVICE

Practice address

6913 Prairie Road
Winnsboro, LA 71295

Phone

(318) 435-7881

NPI assigned

Aug 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Roger A Smith, MDNPI 1023045671

Title

Owner

Phone

(318) 435-7881

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roger A. Smith, M.D.

  • Internal Medicine Physician
  • Wisner, LA
  • NPI 1023045671

  Internal Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1306093455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 JACKSON LN",
            "city": "GILBERT",
            "state": "LA",
            "postal_code": "713365834",
            "telephone_number": "318-435-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 PRAIRIE ROAD",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "71295",
            "telephone_number": "318-435-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OSTEOPOROSIS SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-435-7881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.018530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386839",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simcor, L.L.C.
• Marteze Singleton
• Gina Smith
• Stephanie B Smith
• Southern Medical Equipment, Inc.
• Justin Slade Spann, CAC
• Stephen Allen Stansbury, FNP
• Andrew Stephens, LMFT, LPC, NCC
• Sierra Talbert, CAC
• Alexandra Blake Tarver

• All providers in Winnsboro, LA
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.