Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Russell Burton Smith, MD

Individual provider Plastic Surgery within the Head & Neck (Otolaryngology) Physician · NPI 1134112261

Russell Burton Smith, MD is an Otolaryngology in Jacksonville, Florida. Graduated from University of Missouri, Columbia School of Medicine in 1995, 31 years ago. Practices with Memorial Family Practice Associates, LLC, a 50-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Nebraska.

Years since qualifying
31
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
FL, NE
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3901 University Blvd S Ste 112
Jacksonville, FL 32216-4312
Phone: (904) 486-5466
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 Palm Ave, Jacksonville, FL 32207-8432 — (904) 202-7300

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence ME134346 (FL)
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Taxonomy 207YX0007X · Licence ME134346 (FL)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 24197 (NE)

Record details

NPI number1134112261
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Memorial Family Practice Associates, Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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