Randall Smith, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704246400 Issued in MI

Practice address

900 Peeler St
Kalamazoo, MI 49008-2380

Phone

(269) 345-8618

Fax

(269) 345-1508

NPI assigned

Feb 22, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Lakeland Hospitals at Niles and St Joseph IncGroup PAC ID 7517929037, 134 clinicians

Apollo Medical Group of Michigan PLLCGroup PAC ID 6103354329, 24 clinicians

Rest Assured Anesthesia Management IncGroup PAC ID 3274971007, 21 clinicians

Clinical Colleagues IncGroup PAC ID 8729011333, 170 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakeland Hospital, St Joseph Hospital, St Joseph, MI, CCN 230021
• Three Rivers Health Hospital, Three Rivers, MI, CCN 230015

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Apollo Medical Group of Michigan PLLC

  • Anesthesiology Physician
  • Portage, MI
  • NPI 1699582593

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Lakeland Hospitals at Niles and St Joseph, Inc

  • General Acute Care Hospital
  • Saint Joseph, MI
  • NPI 1134220031
  Medicare reassignment Care Compare group NPD
• Clinical Colleagues Inc

  • Anesthesiology Physician
  • Van Wert, OH
  • NPI 1992725766

  MI, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Rest Assured Anesthesia Management, Inc.

  • Certified Registered Nurse Anesthetist
  • Fremont, IN
  • NPI 1063284891

  MI, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Community Health Center of Branch County

  • General Practice Physician
  • Coldwater, MI
  • NPI 1124055009
  Medicare reassignment NPD
• Covenant Medical Center, Inc.

  • Certified Registered Nurse Anesthetist
  • Saginaw, MI
  • NPI 1225151897

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• McLaren Hospital Group

  • Emergency Medicine Physician
  • Flint, MI
  • NPI 1942026174
  Medicare reassignment NPD
• Sturgis Hospital, Inc.

  • Rural Health Clinic/Center
  • Sturgis, MI
  • NPI 1255668893
  Medicare reassignment NPD
• Kalamazoo Anesthesiology P C

  • Anesthesiology Physician
  • Kalamazoo, MI
  • NPI 1407821796
  Medicare reassignment
• Community Health Center of Branch County

  • Hematology & Oncology Physician
  • Coldwater, MI
  • NPI 1215964192
  NPD
• Community Health Center of Branch County

  • Internal Medicine Physician
  • Coldwater, MI
  • NPI 1306873286
  NPD
• Community Health Center of Branch County

  • Pediatric Adolescent Medicine Physician
  • Coldwater, MI
  • NPI 1619304458
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lakeland Hospitals at Niles and St Joseph, Inc

  • General Acute Care Hospital
  • Saint Joseph, MI
  • NPI 1134220031
  Care Compare affiliation
• Three Rivers Health System, Inc

  • General Acute Care Hospital
  • Three Rivers, MI
  • NPI 1568739423
  Care Compare affiliation

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962477026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PEELER ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082380",
            "telephone_number": "269-345-8618",
            "fax_number": "269-345-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PEELER ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082380",
            "telephone_number": "269-345-8618",
            "fax_number": "269-345-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RANDALL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704246400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4698268",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Smith, M.D.
• Phoebe Analisa Smith
• Phyllis Smith
• Porshy'a L Smith
• Quinton Smith
• Ryan Steven Smith, MD
• Sarah Elizabeth Smith, CTRS
• Shannon M Smith, COTA
• Shanta Smith
• Shonna Shaneice Smith, RN

• Certified Registered Nurse Anesthetist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.