Eddie Smith, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C00512 Issued in AR

Practice address

1114 Ferry Rd
Ozark, AR 72949-2591

Phone

(918) 649-5426

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

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.

• Radiology Consultants of Little Rock, PA

  • Diagnostic Radiology Physician
  • Little Rock, AR
  • NPI 1639124118
  NPD (past)
• Clinical Partners PA

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1215995816

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Grove General Hospital

  • Anesthesiology Physician
  • Grove, OK
  • NPI 1467692145
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1881741635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 HOLSON AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534925",
            "telephone_number": "918-649-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 FERRY RD",
            "city": "OZARK",
            "state": "AR",
            "postal_code": "729492591",
            "telephone_number": "918-649-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EDDIE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C00512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881741635",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881741635",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Dean Rice
• Bryan Rinke
• Riverbase Counseling Clinic PLLC
• Hannah Rose Rofkahr, MS, RDN, LD
• Jeanette D Ross, PROVIDER ENROLLMENT
• John C Smith, MD
• Southern Valley Rehab Inc.
• Danny Patrick Stepp, MPT
• David L Stewart
• The Guidance Center - Franklin County Sats

• Certified Registered Nurse Anesthetist in Ozark, AR
• Providers in Ozark, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.