Robert Edmond Smith, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

08899R Issued in LA

Practice address

15790 Paul Vega MD Dr
Department of Radiology
Hammond, LA 70403-1434

Phone

(985) 230-6700

Fax

(985) 230-1528

NPI assigned

Jul 14, 2006

Last updated

Sep 10, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Delta Imaging LLC

  • Radiology Clinic/Center
  • Slidell, LA
  • NPI 1972509982
  NPD (past)
• Imaging Specialists of New Orleans

  • Diagnostic Radiology Physician
  • New Orleans, LA
  • NPI 1841296993
  NPD (past)
• Louisiana Anesthesiology Group, L.L.C.

  • Anesthesiology Physician
  • Baton Rouge, LA
  • NPI 1902957103
  NPD (past)
• Northshore Imaging Assoc LLC

  • Diagnostic Radiology Physician
  • Hammond, LA
  • NPI 1447231444
  NPD (past)
• Tenet Healthsystem Memorial Medical Center, Inc.

  dba Memorial Medical Center

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1821029117
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1437175221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2668",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704042668",
            "telephone_number": "985-230-6700",
            "fax_number": "985-230-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15790 PAUL VEGA MD DR",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031434",
            "telephone_number": "985-230-6700",
            "fax_number": "985-230-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "EDMOND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.08899R",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "LA",
            "license": "08899R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376752",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry James Smith
• Lauren Rachel Smith
• Maggie Smith, NP
• Misty Smith, CHES, MA
• Ora Smith
• Samantha Rose Smith
• Stanley Abeel Smith, MD
• Steven Smith, DO
• Sydnee Nicole Smith, MSN, APRN, FNP-C
• Vanisha L Smith

• Vascular & Interventional Radiology Physician in Hammond, LA
• Providers in Hammond, LA by specialty
• Vascular & Interventional Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.