Active NPI
Richard Graham Smith, MD
- Hematology & Oncology Physician
- Durango, CO
National Provider Identifier
1477556579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 40107
- Practice address
- 1 Mercado St Ste 100
Durango, CO 81301-7300 - Phone
- (970) 385-7977
- Fax
- (970) 385-6727
- NPI assigned
- May 23, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 94-146 | NM | |
| Hematology & Oncology Physician | 207RH0003X | 40107 | CO | Primary |
Addresses
Primary practice location
1 Mercado St Ste 100
Durango, CO 81301-7300
Mailing address
1 Mercado St Ste 100
Durango, CO 81301-7300
Phone (970) 385-7977
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16505 | Medicaid | NM | |
| 91941468 | Medicaid | CO | |
| T0240 | Medicaid | UT | |
| 191908 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40107 | CO | MD | Behavior Technician |
| 94-146 | NM | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Regional Medical Center Inc | Past | Accepting new patients | |
| New Mexico Oncology Hematology Consultants, LTD. | Hematology & Oncology | Past | Accepting new patients |
| Durango Cancer Center PC | Past | Accepting new patients | |
| San Juan Oncology Associates, PC | Hematology & Oncology | 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.
-
- Radiation Oncology Physician
- Durango, CO
- NPI 1407861263
-
- Hematology & Oncology Physician
- Durango, CO
- NPI 1144893249
Hematology & Oncology
-
- Hematology & Oncology Physician
- Albuquerque, NM
- NPI 1164475232
Hematology & Oncology
-
- Internal Medicine Physician
- Farmington, NM
- NPI 1225076003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1477556579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MERCADO ST STE 100",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017300",
"telephone_number": "970-385-7977",
"fax_number": "970-385-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MERCADO ST STE 100",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017300",
"telephone_number": "970-385-7977",
"fax_number": "970-385-6727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RICHARD",
"middle_name": "GRAHAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NM",
"license": "94-146",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CO",
"license": "40107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16505",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91941468",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T0240",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "191908",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.