RUSSELL A. SMITH, MD PC (NPI# 1588843536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588843536 |
| Entity Type | Organization |
| Organization Name | RUSSELL A. SMITH, MD PC |
| Practice Address |
9600 S 1300 E 300 Sandy UT 84094-3766 |
| Practice Telephone | 8015717777 |
| Practice Fax Number | 8015231848 |
| Mailing Telephone | 8015717777 |
| Mailing Fax Number | 8015231848 |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2008-04-04 |
| Authorized Official Name | DR. RUSSELL A SMITH (PRES) |
| Authorized Official Telephone | 8015717777 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
4938616-1205 | UT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 528709718013 | 05 |
| Street Address |
9600 S 1300 E 300 |
| City | SANDY |
| State | UT |
| Zip Code | 84094-3766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841250602 | Leon W Hansen | Obstetrics & Gynecology | 9600 S 1300 E, Suite 300, Sandy, UT 84094-3766 | 2006-03-24 |
| 1215285614 | Carlie Ann Yearsley | Advanced Practice Midwife | 9600 S 1300 E, Ste. 310, Sandy, UT 84094-3766 | 2012-08-16 |
| 1447569702 | Alicia Jones, Md PC | Clinic/Center | 9600 S 1300 E, Suite 300, Sandy, UT 84094-3766 | 2010-10-04 |
| 1639326119 | Andrea Vicki O'neal | Midwife | 9600 S 1300 E, Suite 310, Sandy, UT 84094-3766 | 2008-08-26 |
| 1205093721 | Douglas M Vogeler Md PC | Family Medicine | 9600 S 1300 E, Suite 303, Sandy, UT 84094-3766 | 2008-05-21 |
| 1124207170 | Leon W. Hansen, Md PC | Clinic/Center | 9600 S 1300 E, 300, Sandy, UT 84094-3766 | 2007-10-26 |
| 1457568453 | Miquelle M Smith | Nurse Practitioner | 9600 S 1300 E, Suite 302, Sandy, UT 84094-3766 | 2007-05-17 |
| 1992925853 | Judie Fe Guzman | Physician Assistant | 9600 S 1300 E, Suite 301, Sandy, UT 84094-3766 | 2007-04-25 |
| 1063539401 | Richard F. Labasky, Md, PC | Urology | 9600 S 1300 E, Suite #301, Sandy, UT 84094-3766 | 2007-03-22 |
| 1992835268 | Ihc Health Services Inc | Obstetrics & Gynecology | 9600 S 1300 E, #308, Sandy, UT 84094-3766 | 2007-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649754508 | Hollie J Wharton | Advanced Practice Midwife | 9450 S. 1300 E., Sandy, UT 84094 | 2018-09-18 |
| 1417306804 | Sarah Scheibe | Counselor | 1123 E Tulane Cir, Sandy, UT 84094 | 2016-06-07 |
| 1457771313 | Zhenhao Liu | Internal Medicine | 11333 S 1000 E Ste 100, Sandy, UT 84094 | 2014-04-18 |
| 1770919714 | Bojan Jurosevic | Physical Therapist | 7940 South 1300 East, Sandy, UT 84094 | 2013-09-23 |
| 1104259464 | Ryan Blick | Marriage & Family Therapist | 833 East 9400 South, Sandy, UT 84094 | 2013-08-09 |
| 1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
| 1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
| 1306149679 | Premier Home Health, LLC | Home Health | 978 Larkspur Dr, Sandy, UT 84094 | 2010-12-08 |
| 1760704753 | Altaview Hospital | General Acute Care Hospital | 9660 South 13th East, Sandy, UT 84094 | 2010-02-18 |
| 1750518676 | Julie Christensen | Social Worker | 833 E 9400 S, Sandy, UT 84094 | 2009-06-18 |
| Find all providers in zip 84094 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1659654424 | A Touch of Tranquility Massage | Clinic/Center | 17150 University Ave, Suite 100, Sandy, OR 97055-9290 | 2011-09-27 |
| 1760631709 | Concentra Health Services, Inc. | Clinic/Center | 385 West 9000 South, Sandy, UT 84070 | 2008-09-15 |
| 1922279736 | Alta View Chiropractic | Clinic/Center | 1025 E 11400 S, Ste. 104, Sandy, UT 84094-6942 | 2008-03-19 |
| 1124207170 | Leon W. Hansen, Md PC | Clinic/Center | 9600 S 1300 E, 300, Sandy, UT 84094-3766 | 2007-10-26 |
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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.