NPIMap

Organization Active NPI

Robert L Smoak

  • Family Medicine Physician
  • Orangeburg, SC
National Provider Identifier
1669437430
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10545 Issued in SC
Legal business name
ROBERT L SMOAK
Practice address
1739 Village Park Dr
Orangeburg, SC 29118-2475
Phone
(803) 534-4254
Fax
(803) 531-8810
NPI assigned
Apr 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert L Smoak, MD
Title
Owner
Phone
(803) 534-4254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 10545 SC Primary

Addresses

Primary practice location

1739 Village Park Dr
Orangeburg, SC 29118-2475

Mailing address

PO Box 2609
Orangeburg, SC 29116-2609
Phone (803) 534-4254

Other identifiers 1

IdentifierTypeStateIssuer
GP2100MedicaidSC

Other names 1

  • Robert L Smoak, MD Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669437430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2609",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291162609",
            "telephone_number": "803-534-4254",
            "fax_number": "803-531-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 VILLAGE PARK DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182475",
            "telephone_number": "803-534-4254",
            "fax_number": "803-531-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L SMOAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMOAK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-534-4254",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "10545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2100",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert L Smoak, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.