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

Stanley R Smith, MD

Individual provider Specialist · NPI 1003802968

Stanley R Smith, MD is a Diagnostic Radiology in Omaha, Nebraska. Graduated from Medical College of Georgia School of Medicine in 2000, 26 years ago. Practices with Lincoln Radiology Group P C, a 46-clinician group and works from 6 locations. Licensed in Arizona, Guam, Missouri and North Dakota and 1 more.

Years since qualifying
26
Trained at
Medical College of Georgia School of Medicine
Licensed in
AZ, GU, MO, ND, WY
In the registry since
2005
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

17310 Wright St Ste 103
Omaha, NE 68130-2405
Phone: (833) 228-6889
Fax: (877) 853-0376
Show map & directions

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

Additional practice locations (5)

  • 500 E Market St, Iowa City, IA 52245-2633 — (319) 339-3551
  • 701 W Forevergreen Rd, North Liberty, IA 52317-9848 — (319) 356-3375
  • 6000 Hospital Dr, Hannibal, MO 63401-6887 — (573) 248-5301
  • 1 Burdick Expy W, Minot, ND 58701-4406 — (701) 857-5000
  • 2305 37th Ave Sw, Minot, ND 58701-7669 — (701) 857-5000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 34173 (AZ)
Specialist Taxonomy 174400000X · Licence 34173 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2018011357 (MO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 11738C (WY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MTL-2023-030 (GU)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 16510 (ND)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence M-2422 (GU)

Record details

NPI number1003802968
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 26, 2005
Last updated in NPPESMay 2, 2025
Certification dateMay 1, 2025
Mailing address17310 Wright St Ste 103, Omaha, NE 68130-2405

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Lincoln Radiology Group P C — 46 clinicians
Accepts Medicare assignment Not indicated
Practice locations28 on file with Medicare

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