Misty D Smith (NPI# 1790077089, PAC ID# 4284808486) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1790077089 |
| PAC ID by PECOS | 4284808486 |
| Professional Enrollment ID | I20131031000361 |
| Full Name | Misty D Smith |
| Organization Legal Name | SHREVEPORT SURGERY CENTER PTRSHP |
| Address |
745 Olive St Suite 100 Shreveport LA 71104-2246 |
| Phone Number | 3182271163 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 9830141597 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 745 Olive St, Suite 100, Shreveport, LA 71104-2246 | 3182271163 | SHREVEPORT SURGERY CENTER PTRSHP |
| Organization Legal Name | SHREVEPORT SURGERY CENTER PTRSHP |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel L Payne | Certified Registered Nurse Anesthetist (crna) | Shreveport Surgery Center Ptrshp | 745 Olive St, Suite 100, Shreveport, LA 71104-2246 |
| Street Address |
745 OLIVE ST SUITE 100 |
| City | SHREVEPORT |
| State | LA |
| Zip | 71104-2246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel L Payne | Certified Registered Nurse Anesthetist (crna) | Shreveport Surgery Center Ptrshp | 745 Olive St, Suite 100, Shreveport, LA 71104-2246 |
| John S Kilpatrick | Nephrology | 745 Olive St, Suite 207, Shreveport, LA 71104-2250 | |
| Randall G White | Nephrology | 745 Olive St, Suite 200, Shreveport, LA 71104-2246 | |
| Byron A Jackson | Internal Medicine | 745 Olive St, Suite 203, Shreveport, LA 71104-2246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rita M Marascalco King | Nurse Practitioner | Lsu Health Sciences Center-shreveport Faculty Group Practice | 2015 Fairfield Ave 2b Ptrs In Wellness, Lsu Hlth Sci Ctr Shreveport, Shreveport, LA 71104-2066 |
| Charles E Lyon | Ophthalmology | Charles E Lyon, Md, Apmc | 836 Olive St, Shreveport, LA 71104-2102 |
| Travis Jones | Optometry | Charles E Lyon, Md, Apmc | 836 Olive St, Shreveport, LA 71104-2102 |
| George R Merriman | General Surgery | 949 Olive St, Shreveport, LA 71104-2103 | |
| Laurence E Welker | Podiatry | 915 Olive St, Shreveport, LA 71104-2103 | |
| Thomas M Nosser | Chiropractic | 915 Olive St, Shreveport, LA 71104-2103 | |
| William Watkins | Otolaryngology | Ear Nose and Throat Center A Medical Corporation | 2121 Line Ave, Shreveport, LA 71104-2126 |
| Blakely Nelson Thornton | Otolaryngology | Ear Nose and Throat Center A Medical Corporation | 2121 Line Ave, Shreveport, LA 71104-2126 |
| Laura Wade | Qualified Audiologist | Ear Nose and Throat Center A Medical Corporation | 2121 Line Ave, Shreveport, LA 71104-2126 |
| Courtney Leigh Ross | Qualified Audiologist | Ear Nose and Throat Center A Medical Corporation | 2121 Line Ave, Shreveport, LA 71104-2126 |
| Find all physicians in zip 71104 | |||
| City | SHREVEPORT |
| Zip Code | 71104 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SHREVEPORT + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.