NPIMap

Organization Active NPI

Richard D. Smith, Jr., MD, Apmc

  • Internal Medicine Physician
  • Monroe, LA
National Provider Identifier
1750407482
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
05728R Issued in LA
Legal business name
RICHARD D. SMITH, JR., MD, APMC
Practice address
3510 Magnolia CV
Suite 120
Monroe, LA 71203-2372
Phone
(318) 329-1180
Fax
(318) 329-2950
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Richard Douglas Smith Jr., M.D.
Title
President
Phone
(318) 329-1180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 05728R LA Primary

Addresses

Primary practice location

3510 Magnolia CV
Suite 120
Monroe, LA 71203-2372

Mailing address

3510 Magnolia CV
Suite 120
Monroe, LA 71203-2372
Phone (318) 329-1180

Other identifiers 4

IdentifierTypeStateIssuer
1340910MedicaidLA
05728ROtherLASTATE LICENSE
16614OtherLAST. CONTROL SUBSTANCE
5L781OtherLAMEDICARE ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1750407482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 MAGNOLIA CV",
            "address_2": "SUITE 120",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032372",
            "telephone_number": "318-329-1180",
            "fax_number": "318-329-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 MAGNOLIA CV",
            "address_2": "SUITE 120",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032372",
            "telephone_number": "318-329-1180",
            "fax_number": "318-329-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D. SMITH, JR., MD, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-329-1180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "05728R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1340910",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "05728R",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST. CONTROL SUBSTANCE",
            "identifier": "16614",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "5L781",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.