Active NPI
Bennett Walker Smith Jr., MD
- Anesthesiology Physician
- Largo, FL
National Provider Identifier
1407801095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME88402
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81922V | Other | FL | FL MEDICARE |
| 268375000 | Medicaid | FL | |
| P00087439 | Other | FL | MEDICARE RAILROAD |
| 81922 | Other | FL | FL 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME88402 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Gulf-to-Bay Anesthesiology Associates, LLC | Anesthesiology | Past | Accepting new patients |
| Harwood Global LLC | Past | Accepting new patients | |
| Gulfcoast Anesthesia Partners LLP | Anesthesiology | Past | Accepting new patients |
| Harwood Healthcare Corp | Past | 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.
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1144405861
-
- Ambulatory Surgical Clinic/Center
- Fort Lauderdale, FL
- NPI 1811759624
-
- Urgent Care Clinic/Center
- Fort Lauderdale, FL
- NPI 1134999543
-
- Anesthesiology Physician
- Evansville, IN
- NPI 1083665426
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.