Robert Norwood Smith Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D97719 Issued in TX

Practice address

11803 South Freeway
Suite 105
Ft Worth, TX 76115

Phone

(817) 293-7022

Fax

(817) 551-9280

NPI assigned

Oct 17, 2006

Last updated

Dec 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1427139658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6426",
            "address_2": "SUITE 105",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761150426",
            "telephone_number": "817-293-7022",
            "fax_number": "817-551-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 SOUTH FREEWAY",
            "address_2": "SUITE 105",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "76115",
            "telephone_number": "817-293-7022",
            "fax_number": "817-551-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "NORWOOD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "D97719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0981508-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip Alexander Smith
• Rachel Smith
• Randy Lee Smith
• Rebecca A Smith, CPNP
• Richard Lee Smith, PA-C
• Rosa Marie Smith, BS OTR
• Russell R Smith, PA
• Ryan Smith, MPT
• Ryan Mark Smith, PA
• Ryan Robert Smith, MD

• Specialist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.

Verify at the official NPI Registry.