DEAN TY SMITH (NPI# 1144252099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144252099 |
| Entity Type | Individual |
| Full Name | DEAN TY SMITH |
| Other Name | D. TY SMITH |
| Credential | D.O. |
| Practice Address |
79 N Main St Downey ID 83234-4703 |
| Mailing Address |
500 S 11th Ave Ste 400 Pocatello ID 83201-4880 |
| Practice Telephone | 2088975600 |
| Practice Fax Number | 2088975603 |
| Mailing Telephone | 2082327862 |
| Mailing Fax Number | 2082327869 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | O-136 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002812000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 85 South 5th, Lava Hot Springs, ID 832461603 | 2087765202 | 2087765614 |
| 655 S 4th E Ste 600, Preston, ID 832631624 | 2088523200 | 2088520517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144598137 | Dean Daniel Smith | Dentist | 1319 Elizabeth, Pueblo, CO 81003 | 2011-12-06 |
| 1326089434 | Dean Lavern Smith | Internal Medicine | 2401 E St Nw, Office of Medical Services; Us Department of State, Washington, DC 20522-0001 | 2006-06-09 |
| 1811963390 | Dean A Smith | Internal Medicine | 305 Wildwood Cir, Myrtle Beach, SC 29572-4748 | 2006-02-24 |
| 1811990252 | Dean T Smith | Surgery | 391 Shore Haven Dr Se, Grand Rapids, MI 49546-2257 | 2005-05-31 |
| 1750384749 | Dean W Smith | Orthopaedic Surgery | 5420 West Loop S Ste 2400, Bellaire, TX 77401-2118 | 2005-05-23 |
| 1841784311 | Dean Christopher Smith | Community Health Worker | 11 Graham Dr, Athens, OH 45701-1430 | 2018-06-19 |
| 1265687628 | Dean C. Smith | Marriage & Family Therapist | 920 Saratoga Ave Ste 212, San Jose, CA 95129-3408 | 2008-11-25 |
| 1306991930 | Dean Walter Smith | Family Medicine | 3639 Harbor Blvd Ste 106, Ventura, CA 93001-4276 | 2007-01-24 |
| 1659425643 | Dean L Smith | Chiropractor | 890 S Barron St, Eaton, OH 45320-9362 | 2007-01-23 |
| 1871528117 | Dean P Smith | General Practice | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-07-12 |
| Street Address |
79 N MAIN ST |
| City | DOWNEY |
| State | ID |
| Zip Code | 83234-4703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588666945 | Health West, Inc. | Family Medicine | 79 N Main St, Downey, ID 83234 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902170368 | Stephen V Sutton Dmd, Pa | Dentist | 15 W 1st N, Downey, ID 83234 | 2012-03-02 |
| 1104857044 | Stephen V Sutton | Dentist | 15 West 1st North, Downey, ID 83234 | 2006-07-06 |
| 1700853025 | David Porter Sutton | Dentist | 15 West First North, Downey, ID 83234 | 2006-03-06 |
| 1659597490 | A To Z Family Services Inc. | Community/Behavioral Health | 36 Main Street, Downey, ID 83234 | 2007-04-18 |
| 1134344849 | A To Z Family Services Inc. | Community/Behavioral Health | 36 Main Street, Downey, ID 83234 | 2007-04-16 |
| 1780061507 | Frank Howe | Psychologist | 167 North 4th East, Downey, ID 83234-0282 | 2015-04-30 |
| 1639478779 | Whispering Pines Assisted Living LLC | Assisted Living Facility | 351 E Center St, Downey, ID 83234-1692 | 2011-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225260 | Suzette Vega | Counselor | 10018 Downey Sanford Bridge Rd, Downey, CA 90240-3556 | 2020-11-04 |
| 1407455330 | Tyonie Patterson | Speech-Language Pathologist | 7845 Stewart and Gray Rd Apt 12, Downey, CA 90241-4771 | 2020-10-21 |
| 1073112157 | 10-20 Club Inc. | Clinic/Center | 8221 3rd St Ste 403, Downey, CA 90241-3733 | 2020-10-20 |
| 1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
| 1972117182 | Andy Vo Osborne | Respiratory Therapist, Registered | 9333 E Imperial High Way, Downey, CA 90242 | 2020-09-04 |
| 1659985257 | Cielo Behavior Services Inc. | Home Health | 9382 Bigby St, Downey, CA 90241-2903 | 2020-09-02 |
| 1639783459 | Enrique Robles Soto | Behavior Technician | 12432 Bellflower Blvd., Downey, CA 90242 | 2020-08-31 |
| 1275146219 | Avril Delgardo | Nurse Practitioner | 9763 Imperial Hwy, Downey, CA 90242-3167 | 2020-08-28 |
| 1194335786 | Rosa Evelia Tapia-carrillo | Massage Therapist | 8721 Imperial Hwy Apt 108, Downey, CA 90242-3978 | 2020-08-07 |
| 1710597752 | Priscilla M Villalvazo | Specialist/Technologist | 10628 Pico Vista Rd, Downey, CA 90241-3055 | 2020-08-05 |
| Find all providers in DOWNEY | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518328442 | Mitra Brenda Kariminaser | Family Medicine | 12214 Lakewood Blvd, Downey, CA 90242-2662 | 2016-03-20 |
| 1659701787 | Maicenna Medical Group | Family Medicine | 8504 Firestone Blvd, Suite 271, Downey, CA 90241-4926 | 2013-11-27 |
| 1508131129 | Donna L. Wong, Do, Inc. | Family Medicine | 10800 Paramount Blvd., Suite 402, Downey, CA 90241-3334 | 2012-03-14 |
| 1922238112 | Paulino Antonio Equihua | Family Medicine | 7107 Nada St, Downey, CA 90242-2006 | 2009-07-22 |
| 1912146887 | Mls Clinical & Medical Corporation | Family Medicine | 8530 Florence Ave Ste 101, Downey, CA 90240-4015 | 2009-02-16 |
| 1598936023 | Ragaa Z Iskarous Md Inc. | Family Medicine | 11003 Lakewood Blvd Ste 201, Downey, CA 90241-3876 | 2008-03-12 |
| 1487711701 | Mark David Schneider | Family Medicine | 11411 Brookshire Avenue, Suite 207, Downey, CA 90241 | 2007-01-03 |
| 1952469850 | Robert James Wielenga | Family Medicine | 10835 New St, Downey, CA 90241-3714 | 2006-12-04 |
| 1184795007 | Jorge Alberto Enrique Ramirez Amaya | Family Medicine | 9449 Imperial Hwy Ste D133, Downey, CA 90242-2814 | 2006-11-13 |
| 1023119294 | William J Rubinson | Family Medicine | 11942 Paramount Blvd Ste B, Downey, CA 90242 | 2006-09-26 |
| Find all providers in DOWNEY | ||||
Please comment or provide details below to improve the information on DEAN TY SMITH.
| 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.