Individual provider Active NPI

Bennett Walker Smith Jr., MD

  • Anesthesiology Physician
  • Largo, FL
National Provider Identifier
1407801095
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME88402 Issued in FL
Practice address
9651 Maypan PL
Largo, FL 33777-4906
Phone
(727) 397-4795
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME88402 FL Primary

Addresses

Primary practice location

9651 Maypan PL
Largo, FL 33777-4906

Mailing address

9651 Maypan PL
Largo, FL 33777-4906
Phone (727) 397-4795

Other identifiers 4

IdentifierTypeStateIssuer
81922VOtherFLFL MEDICARE
268375000MedicaidFL
P00087439OtherFLMEDICARE RAILROAD
81922OtherFLFL BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME88402FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Gulf-to-Bay Anesthesiology Associates, LLC Anesthesiology Past Accepting new patients
Harwood Global LLC PastSince Feb 4, 2024 Accepting new patients
Gulfcoast Anesthesia Partners LLP Anesthesiology Past Accepting new patients
Harwood Healthcare Corp PastSince Feb 4, 2024 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1407801095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9651 MAYPAN PL",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337774906",
            "telephone_number": "727-397-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9651 MAYPAN PL",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337774906",
            "telephone_number": "727-397-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BENNETT",
        "middle_name": "WALKER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME88402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICARE",
            "identifier": "81922V",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268375000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00087439",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BCBS",
            "identifier": "81922",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.