Organization Active NPI

Rick J Smith MD PC

  • Plastic and Reconstructive Surgery Physician
  • East Lansing, MI
National Provider Identifier
1932435625
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
RICK J SMITH MD PC
Practice address
1504 E Grand River Ave
Ste 100
East Lansing, MI 48823-4921
Phone
(517) 908-3044
Fax
(517) 908-0856
NPI assigned
Oct 30, 2009
Last updated
Oct 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Authorized official

Name
Dr. Rick Joel Smith, M.D.NPI 1104934603
Title
Medical Director and President
Phone
(517) 908-3044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X Primary

Addresses

Primary practice location

1504 E Grand River Ave
Ste 100
East Lansing, MI 48823-4921

Mailing address

1504 E Grand River Ave
Ste 100
East Lansing, MI 48823-4921
Phone (517) 908-3044

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0934377Rick J Smith MD PC1504 E Grand River Avenue Suite 100, East Lansing, MI 48823Certificate of waiverOct 5, 2027

National Provider Directory

National Provider Directory

Locations

1504 E Grand River Ave
Ste 100
East Lansing, MI 48823
Phone (517) 908-3040

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1932435625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 E GRAND RIVER AVE",
            "address_2": "STE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234921",
            "telephone_number": "517-908-3044",
            "fax_number": "517-908-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 E GRAND RIVER AVE",
            "address_2": "STE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234921",
            "telephone_number": "517-908-3044",
            "fax_number": "517-908-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK J SMITH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR AND PRESIDENT",
        "authorized_official_telephone_number": "517-908-3044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.