DR. PRENTISS EDWARD SMITH JR. (NPI# 1134292949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134292949 |
| Entity Type | Individual |
| Full Name | DR. PRENTISS EDWARD SMITH JR. |
| Credential | M.D. |
| Practice Address |
7597 S Bocage Ct Baton Rouge LA 70809-1172 |
| Practice Telephone | 2259277959 |
| Practice Fax Number | 2259277959 |
| Mailing Telephone | 2259277959 |
| Mailing Fax Number | 2259277959 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD.008564 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0115641 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265078281 | Prentiss Elizabeth Smith | Behavior Technician | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2019-11-25 |
| 1164412722 | Prentiss Lee Smith Sr. | Radiology | 108 Lance Alworth Dr, Brookhaven, MS 39601-2300 | 2005-10-25 |
| Street Address |
7597 S BOCAGE CT |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-1172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801263926 | Phillip P Crace Md Facs | Surgery | 10440 Hooper Rd, Baton Rouge, LA 70818-3203 | 2015-08-24 |
| 1144544164 | Ray Scott Daugherty Jr. | Surgery | 7777 Hennessy Blvd Ste 206, Baton Rouge, LA 70808-4363 | 2010-03-19 |
| 1841461514 | London Cade Guidry | Surgery | 2618 July St, Baton Rouge, Baton Rouge, LA 70808-2050 | 2008-03-20 |
| 1326192444 | Andrew Gerard Hargroder | Surgery | 9094 Perkins Rd, Suite A, Baton Rouge, LA 70810-1500 | 2007-01-23 |
| 1952494262 | Philip R Schauer | Surgery | 7777 Hennessy Blvd Ste 612, Baton Rouge, LA 70808-4366 | 2006-10-02 |
| 1336170257 | Advanced Videoscopic Surgery of Baton Rouge | Surgery | 9094 Perkins Road, Suite A, Baton Rouge, LA 70810 | 2006-07-06 |
| 1962403972 | Sidney Osborn Ross | Surgery | 8595 Picardy Ave Ste 420, Baton Rouge, LA 70809-3676 | 2005-08-02 |
| 1649645979 | Baton Rouge Assist LLC | Surgery | 7855 Howell Blvd, Baton Rouge, LA 70807-5256 | 2015-12-11 |
| 1588082937 | Karalyn Bentley-kumar | Surgery | 7777 Hennessy Blvd Ste 612, Baton Rouge, LA 70808-4366 | 2014-04-02 |
| 1649520107 | Camen & Associates, LLC | Surgery | 8595 Picardy Ave, Suite 235, Baton Rouge, LA 70809-3670 | 2012-09-12 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.