Active NPI
Larry D Smith, MD
- Obstetrics & Gynecology Physician
- Richland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD00044139
- Practice address
- 945 Goethals Drive
Suite 200
Richland, WA 99352 - Phone
- (509) 942-3627
- Fax
- (509) 942-2340
- NPI assigned
- Mar 2, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 3083326-1205 | UT | |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | MD00044139 | WA | |
| Obstetrics & Gynecology Physician | 207V00000X | MD00044139 | WA | Primary |
Addresses
Primary practice location
945 Goethals Drive
Suite 200
Richland, WA 99352
Mailing address
550 Gage Blvd Ste 101
Richland, WA 99352-9532
Phone (509) 942-2555
Other practice location 1
780 Swift Blvd Fl 2
Richland, WA 99352-3524
Phone (509) 942-2555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0272100 | Other | WA | LABOR & INDUSTRIES |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lsmith1108109@wm.providencedirect.org | ||
| Direct Messaging Address | lsmith1108109@wm.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Eastern Virginia Medical School, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
945 Goethals Dr
Suite 200
Richland, WA 99352-3552
Phone (509) 942-2555
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of the uterus | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3083326-1205 | UT | MD | Obstetrics & Gynecology Physician |
| MD00044139 | WA | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| New Horizon Women's Care, LLC | Past | Accepting new patients | |
| Westview Women's Center | Past | Accepting new patients | |
| Associated Physicians for Women | Obstetrics & Gynecology | Past | Accepting new patients |
| Emergency Services of Kansas, PA | Past | Accepting new patients |
Locations
780 Swift Blvd
Ste 130
Richland, WA 99352
Phone (509) 942-3244
550 Gage Blvd
Ste 101
Richland, WA 99352
1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300
945 Goethals Dr
Ste 200
Richland, WA 99352
Phone (509) 942-2555
780 Swift Blvd
Fl 2
Richland, WA 99352
Phone (509) 942-2555
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
dba Kadlec Regional Medical Center - Express Care
- Clinic/Center
- Kennewick, WA
- NPI 1063967933
-
dba Kadlec Regional Medical Center - Rehab Unit
- Rehabilitation Hospital Unit
- Richland, WA
- NPI 1790319580
-
- Obstetrics & Gynecology Physician
- Richland, WA
- NPI 1427061076
-
- Internal Medicine Physician
- Newton, KS
- NPI 1104864503
-
dba New Horizon Healthcare
- Internal Medicine Physician
- Provo, UT
- NPI 1184847063
-
- Family Medicine Physician
- West Valley City, UT
- NPI 1245307842
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1710954375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 GAGE BLVD STE 101",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993529532",
"telephone_number": "509-942-2555",
"fax_number": "509-942-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 GOETHALS DRIVE",
"address_2": "SUITE 200",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99352",
"telephone_number": "509-942-3627",
"fax_number": "509-942-2340"
}
],
"practiceLocations": [
{
"address_1": "780 Swift Blvd Fl 2",
"address_purpose": "LOCATION",
"city": "Richland",
"state": "WA",
"postal_code": "993523524",
"country_code": "US",
"telephone_number": "509-942-2555",
"fax_number": "509-942-2340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "LARRY",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "UT",
"license": "3083326-1205",
"primary": false
},
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "WA",
"license": "MD00044139",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD00044139",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0272100",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lsmith1108109@wm.providencedirect.org",
"affiliation": "N",
"address_1": "945 Goethals Drive",
"address_2": "Suite 200",
"city": "Richland",
"state": "WA",
"country_code": "US",
"postal_code": "99352",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lsmith1108109@wm.providencedirect.org",
"affiliation": "N",
"address_1": "780 Swift Blvd Fl 2",
"city": "Richland",
"state": "WA",
"country_code": "US",
"postal_code": "993523524",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.