Dr. Douglas N. Smith
Family Doctor Family Doctor - Geriatric Medicine
3308 W Edgewood Dr Suite B
Jefferson City
, Missouri 65109-6891
Dr. Douglas N. Smith
Family Doctor Family Doctor - Geriatric Medicine
3308 W Edgewood Dr Suite B
Jefferson City
, Missouri 65109-6891
(573) 893-1984
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Douglas N. Smith
- Po Box 1128
- Jefferson City, MO
- Zip : 65102-1128
- Fax : (573) 893-1984
- Phone : (573) 893-7848
Second Address
- Dr. Douglas N. Smith
- 3308 W Edgewood Dr Suite B
- Jefferson City, MO
- Zip : 65109-6891
- Fax : (573) 893-1984
- Phone : (573) 893-7848
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | DO-82 | AL |
| Y | 207Q00000X | Family Doctor | R2A78 | MO |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | DO-82 | AL |
National Provider Identifier
| NPI | 1043292691 |
|---|---|
| Provider Name | Dr. Douglas N. Smith |
| First Address | Jefferson City, MO 65102-1128 |
| Second Address | Jefferson City, MO 65109-6891 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/11/2005 |
| Last Update Date | 15/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 009933720 | (05) | AL |
| 080162220 | RAILROAD MEDICARE (01) | |
| 51097631 | BLUE CROSS OF AL (01) | |
| A10361 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.