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DR. RICK JOEL SMITH MD NPI 1104934603


NPI Information

NPI: 1104934603
Provider Name: DR. RICK JOEL SMITH, MD
Classification: Plastic Surgery - 2082S0099X
Entity Type: Individual

Specialization: Plastic Surgery Within the Head and Neck

PECOS Registration: Yes

CLIA Number: 23D0934377

Address:
1504 E GRAND RIVER AVE
SUITE100
EAST LANSING, MI
ZIP 48823
Phone: (517) 908-3040
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DR. Rick Joel Smith, MD is a plastic surgery within the head and neck plastic surgery in East Lansing, MI with 37 years of experience. The provider is a plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. DR. Rick Joel Smith, MD NPI is 1104934603. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:1987

The provider's business location address is:

1504 E GRAND RIVER AVE
SUITE100
EAST LANSING, MI
ZIP 48823-921
Phone: (517) 908-3040
Fax: (517) 908-0856

The NPI 1104934603 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 23D0934377 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2006 and was last updated on 5/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12082S0099XPlastic SurgeryPlastic Surgery Within the Head and Neck4301051137MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13160115MEDICAIDMICHIGAN
213 00007OTHERMICHIGANPHP OF MID MICHIGAN
313 70017OTHERMICHIGANPHP FAMILY CARE
42403303571OTHERMICHIGANBCBS OF MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.