Smith Clinic P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A53669 Issued in NM

Legal business name

SMITH CLINIC P.A.

Practice address

518 S 11TH St
Lovington, NM 88260-4517

Phone

(505) 396-5336

Fax

(505) 396-7291

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Robert Smith Jr., D.O.NPI 1790769693

Title

Doctor

Phone

(505) 396-5336

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Robert Edwin Smith, DO

  • Family Medicine Physician
  • Lovington, NM
  • NPI 1790769693
  NPD (past) Authorized official

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1326220500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 S 11TH ST",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882604517",
            "telephone_number": "505-396-5336",
            "fax_number": "505-396-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 S 11TH ST",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882604517",
            "telephone_number": "505-396-5336",
            "fax_number": "505-396-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "505-396-5336",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A53669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44982",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM004499",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naveen Kumar Sarakanti, MD
• Ariel Joy Scott
• Archna N Sharma, MD, MPH
• Mrinal Sharma, MD
• Dean U Shippey, M.D.
• Janet Sue Smith, MS, RD, LD
• Nytisha Smith
• Robert Edwin Smith, DO
• Angelica Snyder, LCSW
• Dyesebel Morales Solis, P.T

• Family Medicine Physician in Lovington, NM
• Providers in Lovington, NM by specialty
• Family Medicine Physician in New Mexico

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