Stewart P Smith, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

1022347 Issued in IN

Practice address

1312 Professional Blvd
Evansville, IN 47714-8007

Phone

(812) 479-3125

Fax

(812) 491-6491

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

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 and National Provider Directory roles.

• Renal Life Link Inc

  dba New Hope Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • New Hope, MN
  • NPI 1477875243
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1679573919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 PROFESSIONAL BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148007",
            "telephone_number": "812-479-3125",
            "fax_number": "812-491-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 PROFESSIONAL BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148007",
            "telephone_number": "812-479-3125",
            "fax_number": "812-491-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEWART",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "1022347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayce Smith, LCSW
• Kaytlin Nicole Galloway Smith, PT, DPT
• Matthew Smith, DDS
• Samantha Rae Smith, B.S.
• Shannon E Smith, CSFA
• Taylor Smith, AGACNP-BC
• Tracy Nichole Smith, LPN
• William Robert Smith, M.D.
• Christopher L Sneed, M.D.
• Tyler Snow

• Nephrology Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Nephrology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.