| Dr Ryan J Smith, MD | |
|
1025 New Moody Lane, Lagrange, KY 40031 | |
| (502) 222-5388 | |
| Not Available |
| Full Name | Dr Ryan J Smith |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1025 New Moody Lane, Lagrange, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073706651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 11013843A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 43724 (Kentucky) | Primary |
| Entity Name | Louisville Emergency Medicine Associates Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487604641 PECOS PAC ID: 1557357613 Enrollment ID: O20040423000047 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
| Entity Name | Louisville Observational Medicine Associates Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356018519 PECOS PAC ID: 2860890704 Enrollment ID: O20211007001836 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan J Smith, MD Po Box 950248, Louisville, KY 40295-0248 Ph: (502) 489-5730 | Dr Ryan J Smith, MD 1025 New Moody Lane, Lagrange, KY 40031 Ph: (502) 222-5388 |
Dr. Jason Alan Bailey, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1610 Tina Ct, Lagrange, KY 40031 Phone: 502-222-3572 |