Organization Active NPI

J. Michael Smith Medical Consulting Inc

  • Family Medicine Physician
  • Bastrop, LA
National Provider Identifier
1811034895
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
014425 Issued in LA
Legal business name
J. MICHAEL SMITH MEDICAL CONSULTING INC
Practice address
532 S Washington St
Bastrop, LA 71220-5033
Phone
(318) 281-5600
Fax
(318) 283-2247
NPI assigned
Jan 31, 2007
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
James Michael Smith, M.D.
Title
Owner
Phone
(318) 281-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 014425 LA Primary

Addresses

Primary practice location

532 S Washington St
Bastrop, LA 71220-5033

Mailing address

532 S Washington St
Bastrop, LA 71220-5033
Phone (318) 281-5600

Other identifiers 1

IdentifierTypeStateIssuer
1335789MedicaidLA

Other names 1

  • James M. Smith, M.D. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811034895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 S WASHINGTON ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712205033",
            "telephone_number": "318-281-5600",
            "fax_number": "318-283-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 S WASHINGTON ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712205033",
            "telephone_number": "318-281-5600",
            "fax_number": "318-283-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MICHAEL SMITH MEDICAL CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-281-5600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "014425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1335789",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James M. Smith, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bastrop, LA

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.