Active NPI
Loren E Smith II, PA-C
- Physician Assistant
- Lebanon, MO
National Provider Identifier
1659334514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50-002369
- Practice address
- 341 Hospital Dr
Lebanon, MO 65536-9217 - Phone
- (417) 532-7850
- Fax
- (417) 532-2451
- NPI assigned
- Apr 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50-002369 | OH | Primary |
Addresses
Primary practice location
341 Hospital Dr
Lebanon, MO 65536-9217
Mailing address
30713 Highway BB
Lebanon, MO 65536-8255
Phone (417) 532-7045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MO, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50-002369 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, PC | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Physicians Immediate Care LTD | Past | Accepting new patients | |
| Emergency Medicine Physicians of Richland County, LTD | Past | Accepting new patients | |
| Family Health Associates, P.C. | Past | Accepting new patients |
Locations
1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925
1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835
6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630
Organizations & group practices 10
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.
-
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
MI
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1982993010
-
- Rural Health Clinic/Center
- Lebanon, MO
- NPI 1770612590
-
- Clinical Medical Laboratory
- Kalamazoo, MI
- NPI 1891469631
-
- Clinical Medical Laboratory
- Indianapolis, IN
- NPI 1881358489
-
- Family Medicine Physician
- Lebanon, MO
- NPI 1396727657
-
- Emergency Medicine Physician
- Mansfield, OH
- NPI 1952341380
-
- Urgent Care Clinic/Center
- Rockford, IL
- NPI 1528046323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659334514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30713 HIGHWAY BB",
"city": "LEBANON",
"state": "MO",
"postal_code": "655368255",
"telephone_number": "417-532-7045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 HOSPITAL DR",
"city": "LEBANON",
"state": "MO",
"postal_code": "655369217",
"telephone_number": "417-532-7850",
"fax_number": "417-532-2451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LOREN",
"middle_name": "E",
"name_suffix": "II",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50-002369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.