Individual
RUSSELL BURTON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 UNIVERSITY BLVD S STE 112, JACKSONVILLE, FL 32216-4312
(904) 486-5466
Mailing address
3901 UNIVERSITY BLVD S STE 112, JACKSONVILLE, FL 32216-4312
(904) 486-5466
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
24197
NE
207Y00000X
Otolaryngology Physician
Primary
ME134346
FL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
ME134346
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212142
—
IA
05
—
10025044400
—
NE
05
—
1134112261
—
IA
01
—
19770
WELLMARK BCBS
IA
05
—
47078557504
—
NE
Enumeration date
08/24/2005
Last updated
02/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us