Provider Demographics
NPI:1326064155
Name:SMITH, RODNEY H (MD)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:H
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 BOULDERS PKWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-5545
Mailing Address - Country:US
Mailing Address - Phone:804-282-1366
Mailing Address - Fax:804-282-1487
Practice Address - Street 1:1000 BOULDERS PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-5545
Practice Address - Country:US
Practice Address - Phone:804-320-4243
Practice Address - Fax:804-560-5585
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101020678207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006895400OtherBLACK LUNG PROVIDER NUMBE
NJ0175064Medicaid
VA188419OtherANTHEM PROVIDER NUMBER
VA31898OtherCARENET PROVIDER NUMBER
VA740944OtherMAMSI PROVIDER NUMBER
VA4800159OtherUNITED HEALTHCARE PROV #
VA021786OtherCIGNA PROVIDER NUMBER
VA557515OtherAETNA PROVIDER NUMBER
VA59277OtherSOUTHERN HEALTH PROV #
VA006056768Medicaid
VA006056768Medicaid
VA557515OtherAETNA PROVIDER NUMBER
VA290003779Medicare ID - Type UnspecifiedRAILROAD PROVIDER NUMBER