Individual provider Active NPI

Ronald L. Smits, M.D.

  • Dermatology Physician
  • Mount Pleasant, WI
National Provider Identifier
1851315733
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
17488-020 Issued in WI
Practice address
6233 Bankers Rd
Ste 3
Mount Pleasant, WI 53403-9700
Phone
(262) 898-4400
Fax
(262) 898-4423
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 17488-020 WI Primary

Addresses

Primary practice location

6233 Bankers Rd
Ste 3
Mount Pleasant, WI 53403-9700

Mailing address

6233 Bankers Rd
Ste 3
Mount Pleasant, WI 53403-9700
Phone (262) 898-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1851315733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 BANKERS RD",
            "address_2": "STE 3",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534039700",
            "telephone_number": "262-898-4400",
            "fax_number": "262-898-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6233 BANKERS RD",
            "address_2": "STE 3",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534039700",
            "telephone_number": "262-898-4400",
            "fax_number": "262-898-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITS",
        "first_name": "RONALD",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "17488-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.