DOUGLAS R SMITH (NPI# 1144288580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144288580 |
| Entity Type | Individual |
| Full Name | DOUGLAS R SMITH |
| Credential | MD |
| Practice Address |
1055 N 500 W Suite 101 Provo UT 84604-3305 |
| Mailing Address |
1055 N 500 W Provo UT 84604-3305 |
| Practice Telephone | 8013734366 |
| Practice Fax Number | 8014298191 |
| Mailing Telephone | 8013548225 |
| Mailing Fax Number | 8014298180 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
1655781205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | UNITED HEALTHCARE | 04-00327 | 01 |
| UT | IHC HEALTHPLANS | 107006635101 | 01 |
| UT | DMBA | 23094 | 01 |
| UT | EMIA | 870281028SM1 | 01 |
| UT | ALTIUS | QM0000001514 | 01 |
| UT | PEHP | 6632 | 01 |
| UT | 870281028000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447764543 | Douglas Bradford Smith | Counselor | 8200 Nashville Ave Ste 203, Lubbock, TX 79423-1906 | 2017-11-28 |
| 1891110508 | Douglas Smith | Psychologist | 180 Foote St, Middlebury, VT 05753-2018 | 2014-03-04 |
| 1366727190 | Douglas A Smith | Psychologist | 42b Wright St, Palmer, MA 01069-1156 | 2011-10-12 |
| 1124322961 | Douglas Bradford Smith | Dentist | 7879 El Cajon Blvd, La Mesa, CA 91942-0623 | 2011-01-10 |
| 1124321989 | Douglas Edward Smith | Counselor | 5431 E Mayflower Ln, Suite 5, Wasilla, AK 99654-7891 | 2010-12-16 |
| 1134454127 | Douglas Howard Smith | Dentist | 130 S 130 St, Wooster, OH 44691 | 2009-10-08 |
| 1841433844 | Douglas Alexander Smith | Orthopaedic Surgery | 2424 E 21 St, 320, Tulsa, OK 74114-1722 | 2009-04-07 |
| 1336324839 | Douglas Smith | Specialist | 1520 Collier Pl Se, Smyrna, GA 30080-4400 | 2008-01-02 |
| 1538342118 | Douglas A Smith | Family Medicine | 155 Golden View Dr, Long Lake, MN 55356-9779 | 2007-12-06 |
| 1902016611 | Douglas Kent Smith | Physician Assistant | 1354 N Newcomb St, Porterville, CA 93257-9588 | 2007-05-23 |
| Street Address |
1055 N 500 W SUITE 101 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223835 | Bruce C Mcallister | Specialist | 1055 N 500 W, Suite 102, Provo, UT 84604-3305 | 2005-05-27 |
| 1922641448 | Lilian Silva Dana | Nurse Practitioner | 1055 N 500 W, Suite. 222, Bldg. C, Provo, UT 84604 | 2019-10-28 |
| 1407373574 | Kristie Christensen | Nurse Practitioner | 1055 N 500 W, Ste 101, Bldg C, Provo, UT 84604-3305 | 2017-08-29 |
| 1942664867 | Holly Ann Bishop Michaels | Dietitian, Registered | 1055 N 500 W, Attn. Credentialing, Provo, UT 84604-3305 | 2016-04-06 |
| 1841650967 | Maile Yuzon | Physician Assistant | 1055 N 500 W, Ste 212, Provo, UT 84604-3305 | 2016-03-02 |
| 1497127658 | Kayla Hamrick Lussier | Nurse Practitioner | 1055 N 500 W, Suite 212, Provo, UT 84604-3305 | 2015-10-28 |
| 1962873281 | Ryan Francis | Nurse Practitioner | 1055 N 500 W, Ste 121, Provo, UT 84604-3305 | 2015-10-13 |
| 1083082283 | Leslee Ronald Adams | Registered Nurse | 1055 N 500 W, Ste 211, Provo, UT 84604-3305 | 2015-09-04 |
| 1750763629 | Cydne Suzannah Baird Evans | Physician Assistant | 1055 N 500 W, Ste 100, Provo, UT 84604-3305 | 2015-06-26 |
| 1073903720 | Rosanne Johnson Oliver | Nurse Practitioner | 1055 N 500 W, Ste 205, Provo, UT 84604-3305 | 2015-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099735 | Ihc Health Services Inc | Internal Medicine | 395 W Bulldog Blvd, Provo, UT 84604-3311 | 2020-07-06 |
| 1013200997 | Daniel N. Bennett | Internal Medicine | 1055 N 500 W, Ste 101, Building C, Provo, UT 84604 | 2011-05-25 |
| 1952558116 | Charles Robinson Mitchell | Internal Medicine | 1055 N 500 W, Suite 101, Provo, UT 84604-3305 | 2008-08-19 |
| 1649491440 | David C Wang | Internal Medicine | 1055 N 500 W, Suite 101, Provo, UT 84604-3305 | 2007-05-01 |
| 1821005349 | David T Cragun | Internal Medicine | 1055 N 500 W Ste 101, Provo, UT 84604-3305 | 2006-08-01 |
| 1235197674 | John K Frischknecht | Internal Medicine | 1055 N 500 W, Suite 101, Provo, UT 84604-3305 | 2006-05-03 |
| 1912965344 | Charles F Dahl | Internal Medicine | 1055 N 500 W, Suite 101, Provo, UT 84604-3305 | 2006-05-03 |
| 1649238080 | Chun Hwang | Internal Medicine | 1055 N 500 W, Suite 101, Provo, UT 84604-3305 | 2006-05-03 |
| 1487612214 | Scott E Bingham | Internal Medicine | 1055 N 500 W Ste 101, Provo, UT 84604-3305 | 2006-05-02 |
| 1831154566 | Marvin R Allen | Internal Medicine | 1055 N 500 W, Suite 101, Provo, UT 84604-3305 | 2006-04-18 |
| Find all providers in PROVO | ||||
Please comment or provide details below to improve the information on DOUGLAS R 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.