NPIMap

Organization Active NPI

Albert L Smith, M. D.PA

  • Durable Medical Equipment & Medical Supplies
  • Raymondville, TX
National Provider Identifier
1467601658
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
G0133 Issued in TX
Legal business name
ALBERT L SMITH, M. D.PA
Practice address
165 S 6TH St
Raymondville, TX 78580-3521
Phone
(956) 689-5506
Fax
(956) 689-1988
NPI assigned
Sep 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Ms. Karen Ross Smith
Title
Clinic Supervisor
Phone
(956) 689-5506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X G0133 TX Primary

Addresses

Primary practice location

165 S 6TH St
Raymondville, TX 78580-3521

Mailing address

165 S 6TH St
Raymondville, TX 78580-3521
Phone (956) 689-5506

Other identifiers 3

IdentifierTypeStateIssuer
080018795OtherTXRAILROAD MEDICARE
130453703MedicaidTX
00G640OtherTXBCBS OF TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1467601658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 S 6TH ST",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785803521",
            "telephone_number": "956-689-5506",
            "fax_number": "956-689-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 S 6TH ST",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785803521",
            "telephone_number": "956-689-5506",
            "fax_number": "956-689-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT L SMITH, M. D.PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "CLINIC SUPERVISOR",
        "authorized_official_telephone_number": "956-689-5506",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "G0133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080018795",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130453703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "00G640",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymondville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.