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Deactivated NPI 1063751097 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Keith Smith , MD

Specialist • Lakewood, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 12, 2013
NPI Deactivation Date January 08, 2026
Total Practice Duration ~13 Years of Practice (2013 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Smith, MD was a registered Specialist practicing in Lakewood, WA. Throughout an active medical career spanning 13 years, Dr. Smith provided care at the practice location at 7612 88TH AVE SW until profile deactivation on 2026-01-08.

Practice Location & Contact Primary Location

Practice Address

7612 88th Ave Sw

Lakewood, WA 984984910

Telephone 2535822331

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Lakewood, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
29 Specialists

Practicing in Lakewood, WA (2751 Statewide)

Telehealth Adoption Rate
3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA 00011444

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 08, 2026

Record deactivated on January 08, 2026

NPI Profile Active February 12, 2013

NPI status registered as active in NPPES database

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Updated Practice Location February 12, 2013

Registered at 7612 88TH AVE SW, LAKEWOOD, WA 984984910 (Tel: 2535822331)

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Updated Business Mailing Address February 12, 2013

Registered at 7612 88TH AVE SW, LAKEWOOD, WA 984984910 (Tel: 2535822331)

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Provider Name / Credentials Updated February 12, 2013

Recorded as ROBERT SMITH, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2013

Specialist (License #00011444 in WA)

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Initial NPI Registration & Enumeration February 12, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063751097
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2013
Last Update: February 12, 2013
Deactivation Date: January 08, 2026

Mailing Address

7612 88th Ave Sw

Lakewood, WA 984984910

Phone: 2535822331

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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