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NPI Code Detail

MEDICARE: DR. RICHARD STANLEY SMITH M.D.

MEDICARE: DR. RICHARD STANLEY SMITH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianMD20463TN
2207XS0106XOrthopaedic Hand Surgery Physician20463TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
8200030082OTHERTNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2TN0104OTHERTNJOHN DEERE HEALTHCARE
3TN0176OTHERTNJOHN DEERE HEALTHCARE
40940088OTHERTNUNITED HEALTH CARE
5100020893OTHERTNTENNCARE
6TN0103OTHERTNJOHN DEERE HEALTHCARE
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
93071413OTHERTNBLUE CROSS BLUE SHIELD
104631989OTHERTNAETNA

General Provider Information

NPI Number : 1710954789
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD STANLEY SMITH M.D.
Provider Business Mailing Address
First Line : 1926 ALCOA HWY
Second Line : BLDG. F, SUITE 210
City : KNOXVILLE
State : TN
Zip : 37920-1545
Country : US
Telephone Number : 865-546-2663
Fax Number : 865-546-9047
Provider Business Practice Location Address
First Line : 1926 ALCOA HWY
Second Line : BLDG. F, SUITE 210
City : KNOXVILLE
State : TN
Zip : 37920-1545
Country : US
Telephone Number : 865-546-2663
Fax Number : 865-546-9047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 06/29/2017

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