Eddie M Smith, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

18307 Issued in LA

Practice address

103 Picciola Pkwy
Cut Off, LA 70345-3572

Phone

(985) 325-6226

Fax

(982) 325-6242

NPI assigned

Apr 4, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Louisiana State University School of Medicine in New Orleans, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lady of the Sea General Hospital Hospital, Cut Off, LA, CCN 191325
• Ochsner St Anne General Hospital Hospital, Raceland, LA, CCN 191324

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eddie.smith.1@748.direct.athenahealth.com

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.

• Eddie Smith MD a Prof Med Corp

  • Primary Care Clinic/Center
  • Cut Off, LA
  • NPI 1558760785
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lafourche Parish Hospital Service District No.1

  • Critical Access Hospital
  • Cut Off, LA
  • NPI 1407883341
  Care Compare affiliation
• Ochsner Bayou LLC

  • Critical Access Hospital
  • Raceland, LA
  • NPI 1396761805
  Care Compare affiliation

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1700908241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "GOLDEN MEADOW",
            "state": "LA",
            "postal_code": "703570457",
            "telephone_number": "985-325-6226",
            "fax_number": "985-325-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PICCIOLA PKWY",
            "city": "CUT OFF",
            "state": "LA",
            "postal_code": "703453572",
            "telephone_number": "985-325-6226",
            "fax_number": "982-325-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EDDIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "18307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1357464",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bud Lee Sayes, CRNA
• Katherine P Scanio, MSW, LCSW, DCSW
• Stephanie Vu Shicksnider
• Shpak Family Dentistry LLC
• Dmitriy Shpak, DDS
• Special Education District 1 of Lafourche
• Special Education District 1 of Lafourche
• Special Education District 1 of Lafourche
• Special Education District 1 of Lafourche
• Special Education District 1 of Lafourche

• General Practice Physician in Cut Off, LA
• Providers in Cut Off, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.