Raymond R (Rusty) Smith, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN032208 Issued in LA

Practice address

241 Aimee Rd
Ferriday, LA 71334-9615

Phone

(318) 757-6371

Fax

(318) 757-6371

NPI assigned

Feb 13, 2006

Last updated

Feb 10, 2009By 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 3

Other names 1

• Raymond R (Rusty) Smith Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, 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.

• Mid-Louisiana Anesthesia Consultants, Apmc

  • Anesthesiology Physician
  • Alexandria, LA
  • NPI 1205888914
  NPD (past)
• Richland Parish Hospital Service District No 1-B

  dba Richardson Medical Center

  • General Acute Care Hospital
  • Rayville, LA
  • NPI 1497913016
  NPD (past)
• Natchez Regional Medical Center

  dba Natchez Regional ER Physicians

  • Specialist
  • Natchez, MS
  • NPI 1295879203
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1548233133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 AIMEE RD",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713349615",
            "telephone_number": "318-757-6371",
            "fax_number": "318-757-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 AIMEE RD",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713349615",
            "telephone_number": "318-757-6371",
            "fax_number": "318-757-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RAYMOND",
        "middle_name": "R (RUSTY)",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN032208",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R611034",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00127016",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1139351",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BLUE CROSS",
            "identifier": "050584209A",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAYMOND",
            "last_name": "SMITH",
            "middle_name": "R (RUSTY)",
            "credential": "CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Antoinette Slack
• Frank Randolph Smith, R.PH.
• Heather Robertson Smith, CFNP
• John Wesley Smith, M.D.
• Lyndsey Renea Smith, LCOTA
• Robbie J Soileau, CRNA
• Mary Ann Spann, R.N.
• Special Care Services of Louisiana Inc (Precision Caregivers)
• Special Care Services of Louisiana, Inc (Precision Caregivers)
• Samantha Elizabeth Strange, FNP

• Certified Registered Nurse Anesthetist in Ferriday, LA
• Providers in Ferriday, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.