Dr Ryan J Smith, MD | |
1025 New Moody Lane, Lagrange, KY 40031 | |
(502) 222-5388 | |
Not Available |
Full Name | Dr Ryan J Smith |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1025 New Moody Lane, Lagrange, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073706651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 11013843A (Indiana) | Secondary |
207P00000X | Emergency Medicine | 43724 (Kentucky) | Primary |
Entity Name | Louisville Emergency Medicine Associates Psc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487604641 PECOS PAC ID: 1557357613 Enrollment ID: O20040423000047 |
Entity Name | Southeastern Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
Entity Name | Baptist Health Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
Entity Name | Louisville Observational Medicine Associates Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356018519 PECOS PAC ID: 2860890704 Enrollment ID: O20211007001836 |
Mailing Address | Practice Location Address |
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Dr Ryan J Smith, MD Po Box 950248, Louisville, KY 40295-0248 Ph: (502) 489-5730 | Dr Ryan J Smith, MD 1025 New Moody Lane, Lagrange, KY 40031 Ph: (502) 222-5388 |
Dr. Jason Alan Bailey, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1610 Tina Ct, Lagrange, KY 40031 Phone: 502-222-3572 |