KENNETH G SMITH (NPI# 1700098324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700098324 |
| Entity Type | Individual |
| Full Name | KENNETH G SMITH |
| Credential | MD |
| Practice Address |
5131 Odonovan Dr Fl 1 Baton Rouge LA 70808-4782 |
| Mailing Address |
Po Box 83130 Baton Rouge LA 70884-3130 |
| Practice Telephone | 2257674893 |
| Practice Fax Number | 2257675494 |
| Mailing Telephone | 2257674893 |
| Mailing Fax Number | 2257675494 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2010-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
025974 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1049549 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680061 | Kenneth Lee Smith | Licensed Practical Nurse | 4905 Frontier Rd, Garland, TX 75043-3506 | 2020-08-18 |
| 1962067439 | Kenneth George Smith | Ophthalmology | 26 Apple Valley Road, High Rolls, NM 88325 | 2019-05-09 |
| 1568933141 | Kenneth Smith | Pharmacist | 4393 Fielding Ln, Norcross, GA 30092-1647 | 2018-12-08 |
| 1639645203 | Kenneth Smith | Social Worker | 311 S Betty Ln Apt 34, Clearwater, FL 33756-5849 | 2018-10-22 |
| 1487105144 | Kenneth Smith | Counselor | 4041 N High St Ste 300n, Columbus, OH 43214-3200 | 2016-10-18 |
| 1356898480 | Kenneth Smith | Nurse Practitioner | 6480 Se 55th St, Trenton, FL 32693-3019 | 2016-09-07 |
| 1942661897 | Kenneth Smith | Counselor | 26 Cahoon Rd, Apt A, Buzzards Bay, MA 02532-4802 | 2016-03-18 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1376945261 | Kenneth Smith II | Nurse Practitioner | 224 W D. L. Ingram Ave, Cannon Afb, NM 88103-5103 | 2014-09-23 |
| 1982041018 | Kenneth Lee Smith II | Psychiatry & Neurology | 2323 Sandringham Cir, Indianapolis, IN 46214-2396 | 2013-05-30 |
| Street Address |
5131 ODONOVAN DR FL 1 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-4782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639172687 | Michael Wayne Roppolo | Internal Medicine | 5131 Odonovan Dr Fl 1, Baton Rouge, LA 70808-4782 | 2005-05-23 |
| 1902311053 | Emily Cecile Burke | Nurse Practitioner | 5131 Odonovan Dr Fl 1, Baton Rouge, LA 70808-4791 | 2017-12-12 |
| 1568619021 | Jennifer Bridges Louque | Nurse Practitioner | 5131 Odonovan Dr Fl 1, Baton Rouge, LA 70808-4782 | 2008-08-26 |
| 1679753222 | Byron Bernard David | Nurse Practitioner | 5131 Odonovan Dr Fl 1, Baton Rouge, LA 70808-4782 | 2007-11-13 |
| 1578777058 | Mahesh Reddy Basireddy | Internal Medicine | 5131 Odonovan Dr Fl 1, Baton Rouge, LA 70808-4782 | 2007-05-10 |
| 1649484346 | Matthew Dornier | Nurse Practitioner | 5131 Odonovan Dr Fl 1, Baton Rouge, LA 70808-4782 | 2007-05-10 |
| 1154533438 | Jeremy C O'neal | Internal Medicine | 5131 Odonovan Dr Fl 1, Baton Rouge, LA 70808-4782 | 2007-05-07 |
| 1366528135 | Renal Associates of Baton Rouge, LLC | Specialist | 5131 Odonovan Dr Fl 1, Baton Rouge, LA 70808-4782 | 2006-10-27 |
| 1285736173 | William Britton Murrill | Internal Medicine | 5131 Odonovan Dr Fl 1, Baton Rouge, LA 70808-4782 | 2006-09-02 |
| 1629075999 | Daniel E Marsh | Internal Medicine | 5131 Odonovan Dr Fl 1, Baton Rouge, LA 70808-4782 | 2005-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780715193 | George Tipton Mcknight | Internal Medicine | 8334 O'hara Court, Suite D, Baton Rouge, LA 70806 | 2007-03-08 |
| 1639172687 | Michael Wayne Roppolo | Internal Medicine | 5131 Odonovan Dr Fl 1, Baton Rouge, LA 70808-4782 | 2005-05-23 |
| 1558815720 | Nephrology Management LLC | Internal Medicine | 5131 Odonovan Dr, 1st Floor, Baton Rouge, LA 70808-4791 | 2016-08-05 |
| 1437340510 | Matthew Foy | Internal Medicine | 5825 Airline Hwy, Baton Rouge, LA 70805-2408 | 2007-08-05 |
| 1578777058 | Mahesh Reddy Basireddy | Internal Medicine | 5131 Odonovan Dr Fl 1, Baton Rouge, LA 70808-4782 | 2007-05-10 |
| 1154533438 | Jeremy C O'neal | Internal Medicine | 5131 Odonovan Dr Fl 1, Baton Rouge, LA 70808-4782 | 2007-05-07 |
| 1285736173 | William Britton Murrill | Internal Medicine | 5131 Odonovan Dr Fl 1, Baton Rouge, LA 70808-4782 | 2006-09-02 |
| 1578678405 | James Sungmin Sim | Internal Medicine | 5131 Odonovan Dr, First Floor, Baton Rouge, LA 70808-4782 | 2006-08-20 |
| 1639185473 | Kiran K Padigala | Internal Medicine | 9001 Summa Avenue, Baton Rouge, LA 70809-3726 | 2006-08-01 |
| 1417977836 | Darren Wayne Barefield | Internal Medicine | 7414 Sumrall Dr, Baton Rouge, LA 70812-1240 | 2006-07-20 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.