DR. ERNEST CLYDE SMOOT (NPI# 1790756039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790756039 |
| Entity Type | Individual |
| Full Name | DR. ERNEST CLYDE SMOOT |
| Credential | MD |
| Practice Address |
4150 Nelson Rd Bldg. A, Ste. 2 Lake Charles LA 70605-4148 |
| Practice Telephone | 3374785577 |
| Practice Fax Number | 3374785588 |
| Mailing Telephone | 3374785577 |
| Mailing Fax Number | 3374785588 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2011-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
12854R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1978671 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558455352 | Ernest A. Smoot | Pediatrics | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2006-10-03 |
| Street Address |
4150 NELSON RD BLDG. A, STE. 2 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-4148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538993 | Eugene Fontenot | Obstetrics & Gynecology | 4150 Nelson Rd, Lake Charles, LA 70605-4148 | 2005-06-17 |
| 1760006803 | Nicholas Fulco | Physical Therapist | 4150 Nelson Rd, Bldg C, Ste 12, Lake Charles, LA 70605-4148 | 2020-06-04 |
| 1154977197 | Eugene M Fontenot Md LLC | Obstetrics & Gynecology | 4150 Nelson Rd, Building A Suite 1, Lake Charles, LA 70605 | 2019-08-15 |
| 1124583828 | Ashley Elizabeth Bellow | Nurse Practitioner | 4150 Nelson Rd, Suite E4, Lake Charles, LA 70605-4133 | 2019-02-06 |
| 1477093045 | Ashley Chaumont Hoffpauir | Physical Therapist | 4150 Nelson Rd, Bldg C, Ste 12, Lake Charles, LA 70605-4148 | 2017-03-02 |
| 1033584065 | Maureen A Olivier M.d. | Dermatology | 4150 Nelson Rd, Building E Suite 1, Lake Charles, LA 70605-4140 | 2015-12-02 |
| 1215322946 | Blakelee Ann Moore | Physical Therapist | 4150 Nelson Rd, Suite C12, Lake Charles, LA 70605-4148 | 2015-03-31 |
| 1578966768 | Kelly Calloway | Nurse Practitioner | 4150 Nelson Rd, Building E Suite 1, Lake Charles, LA 70605-4148 | 2014-10-01 |
| 1205239753 | Anesthesia Associates | General Acute Care Hospital | 4150 Nelson Rd, A4, Lake Charles, LA 70605-4148 | 2014-09-29 |
| 1356742043 | Qua'lynn S. Jenkins | Nurse Practitioner | 4150 Nelson Rd, Building E Suite 4, Lake Charles, LA 70605-4148 | 2014-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134190465 | Ralph W Colpitts | Surgery | 2000 Southwood Dr, Suite B, Lake Charles, LA 70605-4138 | 2006-01-26 |
| 1528247277 | E. Clyde Smoot, M.d.-llc | Surgery | 4150 Nelson Rd, Bldg A Ste 2, Lake Charles, LA 70605-4148 | 2007-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430257 | Thibodaux Regional Network Development Corporation | Surgery | 604 N Acadia Rd Ste 410, Thibodaux, LA 70301-4897 | 2020-06-03 |
| 1942590153 | Jenna Martin Bourgeois | Surgery | Associates In Plastic Surgery, 8425 Cumberland Place, Baton Rouge, LA 70806 | 2011-04-10 |
| 1710121306 | John P Guste | Surgery | 3900 Veterans Blvd., Suite 200, Metairie, LA 70002 | 2009-04-27 |
| 1700929874 | The Plastic Surgery Center LLP | Surgery | 385 Bert Kouns Ind. Loop, Bldg 100, Shreveport, LA 71106-8124 | 2007-02-15 |
| 1295808863 | James W Wade | Surgery | 5233 Dijon Drive, Baton Rouge, LA 70817 | 2006-11-15 |
| 1861595969 | Terry A Cromwell | Surgery | 1101 South College Road, Suite 400, Lafayette, LA 70503 | 2006-09-06 |
| 1154344000 | Scott Keith Sullivan Jr. | Surgery | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2006-07-25 |
| 1568482339 | Herbert Stephen Maguire | Surgery | 501 Medical Center Dr Ste 1b, Alexandria, LA 71301-8124 | 2006-07-21 |
| 1346260205 | O'neil Joseph Engeron | Surgery | 615 Dunn St, Houma, LA 70360-4707 | 2006-07-20 |
| 1912936196 | Kenneth W. Sanders, Md and Willis-knighton Medical Center | Surgery | 1811 East Bert Kouns, Suite 160, Shreveport, LA 71105-5505 | 2006-07-01 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
Please comment or provide details below to improve the information on DR. ERNEST CLYDE SMOOT.
| 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.