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Russell B Smith

Otolaryngologist (ENT Doctor) Plastic Surgeon (Head & Neck)

1301 Palm Ave
Jacksonville , Florida 32207-8432

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Image

Russell B Smith

Otolaryngologist (ENT Doctor) Plastic Surgeon (Head & Neck)

1301 Palm Ave
Jacksonville , Florida 32207-8432

(904) 393-7603

Write a Review Save Call

Russell B Smith

Otolaryngologist (ENT Doctor) Plastic Surgeon (Head & Neck)

1301 Palm Ave
Jacksonville , Florida 32207-8432

(904) 393-7603 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Otolaryngologist (ENT Doctor)
  • Plastic Surgeon (Head & Neck)

Languages spoken

  • English

Location

1301 Palm Ave Jacksonville , Florida 32207-8432

First Address

  • Russell B Smith
  • Po Box 45278
  • Jacksonville, FL
  • Zip : 32232-5278
  • Fax : (904) 393-7603
  • Phone : (904) 202-2092

Second Address

  • Russell B Smith
  • 1301 Palm Ave
  • Jacksonville, FL
  • Zip : 32207-8432
  • Fax : (904) 202-7433
  • Phone : (904) 202-7300

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FAQs


Where did Russell B Smith attend graduate school?

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Where did Russell B Smith do his residency?

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Where did Russell B Smith do his fellowship?

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Is Russell B Smith board certified?

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What type of doctor is Russell B Smith

Otolaryngologist (ENT Doctor)

In what state does Russell B Smith practice in?

Florida

Where is Russell B Smith ’s practice located?

1301 Palm Ave , Jacksonville, Florida, 32207-8432

What is Russell B Smith ’s gender?

Male

Is Russell B Smith a sole practitioner?

No

Is Russell B Smith accepting new patients?

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What languages does Russell B Smith speak?

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Does Russell B Smith accept insurance?

Yes, Russell B Smith accepts insurance

Does Russell B Smith offers telemedicine?

Russell B Smith has not indicated if he offers telemedicine

What is Russell B Smith ’s professional license number?

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What is Russell B Smith ’s NPI number?

1134112261

Does Russell B Smith have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207Y00000X Otolaryngologist (ENT Doctor) 24197 NE
Y 207Y00000X Otolaryngologist (ENT Doctor) ME134346 FL
N 207YX0007X Plastic Surgeon (Head & Neck) ME134346 FL

National Provider Identifier

NPI 1134112261
Provider Name Russell B Smith
First Address Jacksonville, FL 32232-5278
Second Address Jacksonville, FL 32207-8432
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 24/08/2005
Last Update Date 01/11/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
0212142 (05) IA
10025044400 (05) NE
1134112261 (05) IA
19770 WELLMARK BCBS (01) IA
47078557504 (05) NE
H20445 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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