Stanley J Smith (NPI# 1548265010, PAC ID# 3375441900) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1548265010 |
| PAC ID by PECOS | 3375441900 |
| Professional Enrollment ID | I20100714000473 |
| Full Name | Stanley J Smith |
| Organization Legal Name | REGIONAL UROLOGY LLC |
| Address |
1 Medical Plaza Pl Minden LA 71055-3330 |
| Phone Number | 3186830411 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1974 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 2860465416 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190144 | MINDEN MEDICAL CENTER |
| 190041 | CHRISTUS HEALTH SHREVEPORT - BOSSIER |
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Medical Plaza Pl, Minden, LA 71055-3330 | 3186830411 | REGIONAL UROLOGY LLC |
| 255 Bert Kouns Industrial Loop, Shreveport, LA 71106-8150 | 3186830411 | REGIONAL UROLOGY LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 39% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 77% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | REGIONAL UROLOGY LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph J Henderson | Urology | Regional Urology LLC | 255 Bert Kouns Industrial Loop, Shreveport, LA 71106-8150 |
| James R Noble | Urology | Regional Urology LLC | 900 E End Blvd N, Suite E, Marshall, TX 75670-2131 |
| Jeffrey M Chen | Radiation Oncology | Regional Urology LLC | 301 Bert Kouns Industrial Loop, Shreveport, LA 71106-8124 |
| Alison S Spann | Urology | Regional Urology LLC | 255 Bert Kouns Industrial Loop, Shreveport, LA 71106-8150 |
| Ashley S Baker | Urology | Regional Urology LLC | 255 Bert Kouns Industrial Loop, Shreveport, LA 71106-8150 |
| Kirtan Nalin Koticha | Hematology/oncology | Regional Urology LLC | 301 Bert Kouns Industrial Loop, Shreveport, LA 71106-8124 |
| Jared L Moss | Urology | Regional Urology LLC | 255 Bert Kouns Industrial Loop, Shreveport, LA 71106-8150 |
| Catie Arnold Griffith | Nurse Practitioner | Regional Urology LLC | 255 Bert Kouns Industrial Loop, Shreveport, LA 71106-8150 |
| Kevin J Cline | Urology | Regional Urology LLC | 255 Bert Kouns Industrial Loop, Shreveport, LA 71106-8150 |
| Caitlyn Raye Abney | Physician Assistant | Regional Urology LLC | 255 Bert Kouns Industrial Loop, Shreveport, LA 71106-8150 |
| Street Address |
1 MEDICAL PLAZA PL |
| City | MINDEN |
| State | LA |
| Zip | 71055-3330 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyla Lokitz | Internal Medicine | 1 Medical Plaza Pl, Minden, LA 71055-3330 | |
| Hiram M Vazquez | Anesthesiology | Minden Anesthesia LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Daniel I Piotter | Family Medicine | Webster Emergency Group LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Philip Jake Killgore | Certified Registered Nurse Anesthetist (crna) | Minden Anesthesia LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Karen L Rhodes | Nurse Practitioner | Webster Emergency Group LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Daniel Frank Umoh | Emergency Medicine | Webster Emergency Group LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| George W Byram | Certified Registered Nurse Anesthetist (crna) | Minden Anesthesia LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Randal P Thomas | Certified Registered Nurse Anesthetist (crna) | Minden Anesthesia LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Gregory D Powell | Certified Registered Nurse Anesthetist (crna) | Minden Anesthesia LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Carla J Watson | Nurse Practitioner | Webster Emergency Group LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Brewer | Physical Therapy | Brewer Physical Therapy and Associates LLC | 101 Mbl Bank Dr, Minden, LA 71055-2900 |
| Misti Morgan | Nurse Practitioner | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
| Robin F Hogue | Psychiatry | Northwest Louisiana Human Services District | 435 Homer Rd, Minden, LA 71055-2933 |
| Derrell R Spurlock Ii | Optometry | 421 Homer Rd, Minden, LA 71055-2933 | |
| Sheila Mariano | Internal Medicine | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
| Jennifer A Long | Nurse Practitioner | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
| Lori C Cummings | Nurse Practitioner | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
| Graham Wayne Rachal | Nurse Practitioner | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
| Mark D Wilson | Orthopedic Surgery | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
| Lillian Leigh B Davis | Nurse Practitioner | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
| Find all physicians in zip 71055 | |||
| City | MINDEN |
| Zip Code | 71055 |
| Specialty | UROLOGY |
| City + Specialty | MINDEN + UROLOGY |
Please comment or provide details below to improve the information on Stanley J Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.