Daniel Dwight Smith, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Lufkin, TX
NPI 1811040702 · NPPES record last updated Aug 27, 2008
Key facts
- NPI
- 1811040702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 076421 (TX)
- Practice address
- 1201 W Frank Ave
Lufkin, TX 75904-3357 - Phone
- (936) 639-3036
- Fax
- (936) 639-3064
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christus Good Shepherd Medical Center
Practice addresses (Care Compare)
700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000
Hospital & facility affiliations
- Christus Good Shepherd Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070521000565 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0749387017 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 076421 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Good Shepherd Medical Center | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Christus Good Shepherd Medical Center | Current |
Accepting new patients | |
| Anesthesia Consultants | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Texas Anesthesia Specialists PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Dreamworks Anesthesia Associates PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 076421 | TX | Yes |
Addresses
Primary practice location
1201 W Frank Ave
Lufkin, TX 75904-3357
Mailing address
PO Box 1447
Lufkin, TX 75902-1447
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87054U | Other | TX | BCBS |
| 87059U | Other | TX | BCBS |
Other providers in Lufkin, TX
- Chelsea Taylor Slovacek
- SM Foundation LLC
- Alyska Dontrice Smallwood
- Barbara Lynn Smith
- Carey Lynn Smith
- Dawn L Smith
- Eddie Buller Smith
- Heather Smith
- James Paul Smith
- Jamie Erin Smith
All providers in Lufkin, TX · Certified Registered Nurse Anesthetist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.