Active NPI
Martic Smith, CRNA
- Certified Registered Nurse Anesthetist
- Bossier City, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN082737 AP03943
- Practice address
- 2105 Airline Dr
Bossier City, LA 71111-3105 - Phone
- (318) 549-2011
- NPI assigned
- Aug 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN082737 AP03943 | LA | Primary |
Addresses
Primary practice location
2105 Airline Dr
Bossier City, LA 71111-3105
Mailing address
2701 Long Branch LN
Shreveport, LA 71118-5027
Phone (318) 572-5474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, VA, IA, NC
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Penn Ave
Ottumwa, IA 52501-6427
Phone (641) 684-2300
142 S Main St
Danville, VA 24541-2922
Phone (434) 799-3839
830 Rockford St
Mount Airy, NC 27030-5322
Phone (336) 719-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN082737 AP03943 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Vista Doro Anesthesia, LLC | Current | Accepting new patients | |
| Ams Baptist LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ams of Gulf Breeze LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ahp of Altamonte Springs LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ahp of Orlando Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Outpatient Specialists | Past | Accepting new patients | |
| Willis Knighton Medical Center Inc. Crna Group | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Health Care Partners of Florida Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Med-Trans Corporation | Past | Accepting new patients | |
| Ahp of Northwestern Louisiana LLC | Past | Accepting new patients |
Locations
123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011
1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848
1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111
830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
IA, NC, Nurse Anesthetist, Certified Registered, VA
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1093020216
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1376812032
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1841008398
-
dba AHP of Northwestern Louisiana
- Anesthesiology Physician
- Shreveport, LA
- NPI 1376771154
-
dba Willis Knighton Anesthesia Services
- Anesthesiology Physician
- Shreveport, LA
- NPI 1174546097
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Altamonte Springs, FL
- NPI 1861646515
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orlando, FL
- NPI 1700068194
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orlando, FL
- NPI 1518915545
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Cape Coral, FL
- NPI 1922230150
-
- Air Ambulance
- Foley, AL
- NPI 1275084535
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Hospital of Surry County
- General Acute Care Hospital
- Mount Airy, NC
- NPI 1366449282
-
dba Ottumwa Regional Health Center
- General Acute Care Hospital
- Ottumwa, IA
- NPI 1013233741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1851402655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 LONG BRANCH LN",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711185027",
"telephone_number": "318-572-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 AIRLINE DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711113105",
"telephone_number": "318-549-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MARTIC",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN082737 AP03943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.