Individual provider Active NPI

Robin Gregory Smith, MD

  • Radiation Oncology Physician
  • Spokane Valley, WA
National Provider Identifier
1427118686
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME114673 Issued in FL
Practice address
12410 E Sinto Ave Ste B
Spokane Valley, WA 99216-2280
Phone
(509) 838-2531
Fax
(509) 755-6580
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C7538 AR
Radiation Oncology Physician 2085R0001X ME114673 FL Primary
Radiation Oncology Physician 2085R0001X MD00034758 WA

Addresses

Primary practice location

12410 E Sinto Ave Ste B
Spokane Valley, WA 99216-2280

Mailing address

PO Box 3649
Spokane, WA 99220-3649

Other identifiers 3

IdentifierTypeStateIssuer
41261OtherNJAMERICAID/AMERIGROUP
71-0817762OtherTAX ID
P3930971OtherNJOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130815000098 FL Practitioner - Radiation OncologyPractitioner - Dermatology 7416906326 Reassigns benefits to 3 organizations
I20140314000302 MO Practitioner - Radiation Oncology 7416906326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Arkansas College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark E Pomper MD PAGroup PAC ID 0547227787, 4 clinicians

Practice addresses (Care Compare)

1036 NW 1St Ave
Homestead, FL 33030-4417
Phone (954) 730-2333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C7538ARMDSpecialist
ME114673FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark E Pomper MD PA Specialist CurrentSince Jul 1, 2013 Accepting new patients
Edward H. Schlam M.D., P.a. Specialist CurrentSince Jul 8, 2021 Accepting new patients
Poplar Bluff Hma Physician Management, LLC CurrentSince Jul 1, 2015 Accepting new patients
Skin and Cancer Associates PastSince Nov 1, 2018 Accepting new patients
Horizon Medical Services,LLC Specialist PastSince Jul 1, 2013 Accepting new patients
NJ Certified Dermatology PC Past Accepting new patients

Locations

6550 N Federal Hwy
Ste 320
Ft Lauderdale, FL 33308
Phone (954) 491-0510

4331 N Federal Hwy
Fl 4
Ft Lauderdale, FL 33308
Phone (305) 220-5222

1036 NW 1st Ave
Homestead, FL 33030
Phone (305) 227-9233

7867 SW 88th St
Ste 105
Miami, FL 33156
Phone (305) 279-2900

10044 NW 1st Ct
Plantation, FL 33324
Phone (954) 741-5600

3920 NW 49th St
Tamarac, FL 33309
Phone (860) 573-8789

2620 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 686-4111

3098 Oak Grove Rd
Poplar Bluff, MO 63901
Phone (573) 778-2600

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1427118686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3649",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992203649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12410 E SINTO AVE STE B",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162280",
            "telephone_number": "509-838-2531",
            "fax_number": "509-755-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBIN",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "C7538",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME114673",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "MD00034758",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAID/AMERIGROUP",
            "identifier": "41261",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "71-0817762",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3930971",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.