Robert D Smith, RTS TRANSPORTATION

Primary specialty

DriverTaxonomy code 172A00000X

License

NO59326002 Issued in MO

Practice address

7400 Timbercrest Dr
Godfrey, IL 62035-2894

Phone

(618) 660-0784

NPI assigned

Sep 20, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• RTS Transportation Services

  • Non-emergency Medical Transport (VAN)
  • Godfrey, IL
  • NPI 1053919159
  NPD

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1669088175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 TIMBERCREST DR",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620352894",
            "telephone_number": "618-660-0784",
            "fax_number": "618-512-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 TIMBERCREST DR",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620352894",
            "telephone_number": "618-660-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "RTS TRANSPORTATION",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MO",
            "license": "NO59326002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia M Scroggins
• Karen Lordo Segrist, M.D.
• Sipd Godfrey, PLLC
• Anna R Smith, DMD
• Christine Marie Smith, COTA/L
• Steven Smith
• Southern Iilinois Pathology Laboratory LTD
• Suthanya Srisuro, D.D.S., M.S.
• Rachel Carey Staab, MOT OTR/L
• Stephanie M Monroe D.C., P.C.

• Driver in Godfrey, IL
• Providers in Godfrey, IL by specialty
• Driver in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.