DR. SCOTT ALAN SMITH (NPI# 1043204746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043204746 |
| Entity Type | Individual |
| Full Name | DR. SCOTT ALAN SMITH |
| Credential | D.O. |
| Practice Address |
2375 Coronado St Idaho Falls ID 83404-7407 |
| Practice Telephone | 2085224600 |
| Practice Fax Number | 2085527521 |
| Mailing Telephone | 2085224600 |
| Mailing Fax Number | 2085527521 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | O-257 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS | 42283 | 01 |
| ID | BLUE SHIELD | 000010032253 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922544808 | Scott Adam Smith | Specialist | 5602 184th St, Fresh Meadows, NY 11365-2215 | 2017-01-16 |
| 1184068918 | Scott Michael Smith | Dentist | 5819 Highway 6 Ste 350, Missouri City, TX 77459-4070 | 2013-04-23 |
| 1780926931 | Scott Adam Smith | Orthopaedic Surgery | 17600 Shamrock Blvd, Westfield, IN 46074-7002 | 2013-03-25 |
| 1811244155 | Scott Allen Smith | Counselor | 300 Trophy Club Dr., Ste. 600, Trophy Club, TX 76262-5416 | 2012-08-06 |
| 1346535739 | Scott Aaron Smith | Dentist | 400 Sw Bel Air Drive, Clatskanie, OR 97016 | 2011-06-14 |
| 1043516305 | Scott A Smith | Occupational Therapist | 35634 E County Road 1540, Pauls Valley, OK 73075-8722 | 2011-02-03 |
| 1508099284 | Scott Cameron Smith | Dentist | 25099 Starr St, Loma Linda, CA 92354-2813 | 2009-08-28 |
| 1205062270 | Scott Matthew Smith | Psychologist | 5755 Violeta Ave, Atascadero, CA 93422-3125 | 2009-06-04 |
| 1487815031 | Scott Smith | Social Worker | 700 W University Dr, #139, Tempe, AZ 85281-3467 | 2008-06-17 |
| 1306050299 | Scott Coleman Smith | Nurse Anesthetist, Certified Registered | Titusville Area Health Services, Inc. - Anesthesia, 406 West Oak Street, Titusville, PA 16354 | 2007-05-09 |
| Street Address |
2375 CORONADO ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770577728 | Ron Wade Porter | Pediatrics | 2375 Coronado St, Idaho Falls, ID 83404-7407 | 2005-09-06 |
| 1235780990 | Katie Jo Leask | Dietitian, Registered | 2375 Coronado St, Idaho Falls, ID 83404-7407 | 2019-09-24 |
| 1255621793 | Mitchael Conrad Steorts | Pediatrics | 2375 Coronado St, Idaho Falls, ID 83404-7407 | 2011-04-18 |
| 1366560971 | Idaho Falls Pediatrics | Pediatrics | 2375 Coronado St, Idaho Falls, ID 83404-7407 | 2007-03-26 |
| 1477608099 | Darin Leslie | Physician Assistant | 2375 Coronado St, Idaho Falls, ID 83404-7407 | 2007-01-24 |
| 1760476469 | Joseph Reed Moore | Pediatrics | 2375 Coronado St, Idaho Falls, ID 83404-7407 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669918769 | University of Utah Pediatric Services | Pediatrics | 1645 Pancheri Dr, Idaho Falls, ID 83402-3169 | 2017-01-12 |
| 1205940962 | Diane Rae Nielsen | Pediatrics | 3430 Washington Parkway, Idaho Falls, ID 83404 | 2006-08-19 |
| 1073528998 | Medical Center for Children & Adolescents, Pa | Pediatrics | 3430 Washington Pkwy, Idaho Falls, ID 83404-7579 | 2006-07-29 |
| 1770577728 | Ron Wade Porter | Pediatrics | 2375 Coronado St, Idaho Falls, ID 83404-7407 | 2005-09-06 |
| 1063703312 | Jeffrey John Aughney | Pediatrics | 3430 Washington Pkwy, Idaho Falls, ID 83404-7579 | 2011-04-20 |
| 1154528727 | Joshua Michael Smith | Pediatrics | 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 | 2007-06-28 |
| 1194935049 | Kelly Jarom Anderson | Pediatrics | 3430 Washington Pkwy, Idaho Falls, ID 83404-7579 | 2007-05-22 |
| 1487868311 | Aaron Howard Gardner | Pediatrics | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2007-05-10 |
| 1669595864 | Id Dept of Health & Welfare Cshp (hd6) | Pediatrics | 254 E St, Idaho Falls, ID 83402-3527 | 2007-04-10 |
| 1346362084 | Id Dept of Health & Welfare Cshp (hd7) | Pediatrics | 254 E St, Idaho Falls, ID 83402-3527 | 2007-04-04 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.