DR. KRISTI JOHNSON SMOCK (NPI# 1255510285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255510285 |
| Entity Type | Individual |
| Full Name | DR. KRISTI JOHNSON SMOCK |
| Credential | M.D. |
| Practice Address |
500 Chipeta Way Mail Stop 115-g04 Salt Lake City UT 84108 |
| Practice Telephone | 8015832787 |
| Practice Fax Number | 8015853831 |
| Mailing Telephone | 8015832787 |
| Mailing Fax Number | 8015853831 |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZH0000X |
Pathology Specialization: Hematology |
5756815-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
5756815-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | RAILROAD MEDICARE | P009708556 | 01 |
| Street Address |
500 CHIPETA WAY MAIL STOP 115-G04 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548271 | Associated Regional and University Pathologists | Clinical Medical Laboratory | 500 Chipeta Way, Attn Accounts Receivable, Salt Lake City, UT 84108-1221 | 2005-06-16 |
| 1922233758 | Jonathan Robert Genzen | Pathology | 500 Chipeta Way, Mail Code: 115, Salt Lake City, UT 84108 | 2009-05-22 |
| 1689827826 | Pius Opendi Ochola | Student in an Organized Health Care Education/Training Program | 500 Chipeta Way, Arup Medical Directorship, Salt Lake City, UT 84108-1221 | 2008-10-31 |
| 1477712347 | Robert Schlaberg | Student in an Organized Health Care Education/Training Program | 500 Chipeta Way, Arup Laboratories, Salt Lake City, UT 84108-1221 | 2008-06-05 |
| 1750577417 | Rodney Royce Miles | Pathology | 500 Chipeta Way, Arup Laboratories, Hemepath Medical Directors, Salt Lake City, UT 84108-1221 | 2007-09-17 |
| 1902003965 | Albert Kokang Ho | Pathology | 500 Chipeta Way, Arup-hematopathology Office, Salt Lake City, UT 84108-1221 | 2007-07-02 |
| 1326240631 | Todd William Kelley | Pathology | 500 Chipeta Way, Arup Laboratories, Medical Directors, Salt Lake City, UT 84108-1221 | 2007-05-31 |
| 1679647770 | Rong Mao | Pathology | 500 Chipeta Way, Salt Lake City, UT 84108-1221 | 2006-11-20 |
| 1689621948 | Julio Cesar Delgado | Medical Genetics | 500 Chipeta Way, Arup Laboratories, Salt Lake City, UT 84108-1221 | 2006-05-30 |
| 1700840717 | Gary Lynn Ellis | Dentist | 500 Chipeta Way, Salt Lake City, UT 84108-1221 | 2006-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| Taxonomy Code | 207ZH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Hematology |
| A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245488667 | Archana Mishra Agarwal | Pathology | 15 Medical Dr, Emma Eccles Jones Medical Sci, Rm 2100, Salt Lake City, UT 84112-1100 | 2008-08-28 |
| 1346201209 | Jerry William Hussong | Pathology | 500 S Chipeta Way, Salt Lake City, UT 84108-1221 | 2006-03-30 |
| 1093135519 | Lincoln Joseph Pac | Pathology | 500 S Chipeta Way, Salt Lake City, UT 84108-1221 | 2014-04-23 |
| 1467794941 | Timothy Michael Hanley | Pathology | 1950 Circle of Hope Dr, Rm N3105, Salt Lake City, UT 84112-5500 | 2013-03-21 |
| 1053554105 | Anna Paulina Matynia | Pathology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2009-04-18 |
| 1760635478 | Karen Moser | Pathology | 1950 Circle of Hope Dr, Room 3860, Salt Lake City, UT 84112 | 2008-10-25 |
| 1538329867 | Jay Laxmanbhai Patel | Pathology | University of Utah Hospital Pathology, 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2008-06-10 |
| 1750577417 | Rodney Royce Miles | Pathology | 500 Chipeta Way, Arup Laboratories, Hemepath Medical Directors, Salt Lake City, UT 84108-1221 | 2007-09-17 |
| 1598855116 | Sherrie Lynn Perkins | Pathology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| 1205926813 | Ting Liu | Pathology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
Please comment or provide details below to improve the information on DR. KRISTI JOHNSON SMOCK.
| 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.