DR. ERNEST CLYDE SMOOT MD NPI 1790756039

NPI Information

DR. Ernest Clyde Smoot, MD is a plastic and reconstructive surgery surgery in Lake Charles, LA with 45 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Ernest Clyde Smoot, MD NPI is 1790756039. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year:1979

The provider's business location address is:

4150 NELSON RD
BLDG. A, STE. 2
LAKE CHARLES, LA
ZIP 70605-148
Phone: (337) 478-5577
Fax: (337) 478-5588

The NPI 1790756039 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 enumeration date for this NPI number is 1/26/2006 and was last updated on 9/27/2011.

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:

Other Identifiers

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

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