Active NPI
Richard C Smith, MD
- Diagnostic Radiology Physician
- Lake Village, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- E-6378
- Practice address
- 2729 S Highway 65 82
Lake Village, AR 71653-6136 - Phone
- (870) 632-9091
- Fax
- (662) 537-4888
- NPI assigned
- Aug 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 15057 | MS | |
| Diagnostic Radiology Physician | 2085R0202X | E-6378 | AR | Primary |
Addresses
Primary practice location
2729 S Highway 65 82
Lake Village, AR 71653-6136
Mailing address
755 S Washington Ave
Greenville, MS 38701-5832
Phone (870) 632-9091
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00316066 | Other | RR MEDICARE | |
| 1538043 | Medicaid | LA | |
| 140263001 | Medicaid | AR | |
| 00334503 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1045 Golf Valley Dr
Apopka, FL 32712-2593
Phone (866) 722-1655
144 Intracoastal Dr
Madison, AL 35758-9424
Phone (904) 399-5550
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550
2115 Little Rd
Trinity, FL 34655-4410
Phone (904) 399-5550
2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone (904) 399-5550
611 Zeagler Dr
Palatka, FL 32177-3810
Phone (904) 399-5550
Hospital & facility affiliations
- HCA Florida Putnam Hospital
- HCA Florida Gulf Coast Hospital
- HCA Florida Bayonet Point Hospital
- HCA Florida Brandon Hospital
- HCA Florida Oak Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.06 of 100
- Quality
- 72.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-6378 | AR | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Radiology Services of Central Florida Inc | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Northside Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cape Radiology Group, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Radiology & Imaging Specialists, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Delta Medical Group | Diagnostic Radiology | Past | Accepting new patients |
| Missouri Medical Imaging, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Delta Physician Practices | Past | Accepting new patients |
Locations
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481
1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070
809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951
1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
2115 Little Rd
Trinity, FL 34655
Phone 7278418225410
Organizations & group practices 8
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.
-
dba Coastal Vein Vascular Institute
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
AL
-
- Diagnostic Radiology Physician
- Sanford, FL
- NPI 1487708814
-
- Diagnostic Radiology Physician
- Cape Girardeau, MO
- NPI 1477506392
-
- Family Nurse Practitioner
- Greenville, MS
- NPI 1598086639
-
dba Capital Region Medical Imaging
- Diagnostic Radiology Physician
- Jefferson City, MO
- NPI 1235238056
-
- Diagnostic Radiology Physician
- Alexander City, AL
- NPI 1912061839
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Gulf Coast Hospital
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
dba HCA Florida Brandon Hospital
- General Acute Care Hospital
- Brandon, FL
- NPI 1669427258
-
dba HCA Florida Oak Hill Hospital
- General Acute Care Hospital
- Brooksville, FL
- NPI 1013961838
-
dba HCA Florida Bayonet Point Hospital
- General Acute Care Hospital
- Hudson, FL
- NPI 1992759419
-
dba HCA Florida Putnam Hospital
- General Acute Care Hospital
- Palatka, FL
- NPI 1487045100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272931200000",
"number": "1831206515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 S WASHINGTON AVE",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387015832",
"telephone_number": "870-632-9091",
"fax_number": "662-537-4888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2729 S HIGHWAY 65 82",
"city": "LAKE VILLAGE",
"state": "AR",
"postal_code": "716536136",
"telephone_number": "870-632-9091",
"fax_number": "662-537-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RICHARD",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2010-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MS",
"license": "15057",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AR",
"license": "E-6378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00316066",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538043",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140263001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00334503",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Village, AR
- Salpe Adult Daycare Center
- Mary A Sanders
- Candace Brooke Scott, LCSW
- Daniel Shelton Jr.
- Angela Smith
- Southeast Rehab LLC (Southeast Rural Health Clinic)
- Southeast Rehab LLC (Southeast Clinic)
- Southeast Rehab LLC (Southeast Rehabilitation Hospital)
- Southeast Rehab LLC (Southeast Rehabilitation Hospital)
- Southeast Rehab LLC. (Southeast Part B Practice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.