TREVOR SMITH


Address: 500 W Fort St # 111r, Boise, ID 83702-4599
Phone: 8017099288

TREVOR SMITH (NPI# 1659909240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659909240
Entity Type Individual
Full Name TREVOR SMITH
Credential DO
Practice Address 500 W Fort St # 111r
Boise
ID 83702-4599
Practice Telephone 8017099288
Mailing Telephone 8017099288
Enumeration Date 2020-03-30
Last Update Date 2020-04-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine MRO-1906 ID Allopathic & Osteopathic Physicians

Other Providers TREVOR SMITH

NPI Name Taxonomy Address Enumeration
1821573718 Trevor Paul Smith Physician Assistant 32406 Coast Hwy, Laguna Beach, CA 92651-6783 2018-09-26
1891223954 Trevor Graham Smith Psychiatry & Neurology 7924 Breakwater Dr, New Orleans, LA 70124-1614 2017-06-01
1376957043 Trevor Alan Smith Ophthalmology 5300 Gateway Ctr, Flint, MI 48507-3930 2014-06-20
1174957526 Trevor Ericson Smith Nurse Practitioner 218 Nonaville Rd, Mount Juliet, TN 37122-5097 2013-08-21
1801173778 Trevor Wright Smith Specialist/Technologist 1813 Marlene Dr, Euless, TX 76040-4813 2011-11-07
1619289956 Trevor Hamilton Smith Dentist 4725 Mcknight Rd Ste 211, Pittsburgh, PA 15237 2010-07-01
1235392770 Trevor Parker Smith Dentist 1411 Falls Ave E Ste 1000c, Twin Falls, ID 83301-3459 2008-07-03
1831267855 Trevor Heyward Smith Social Worker 374 Lawn St, Pittsburgh, PA 15213-4214 2006-11-30
1346854627 Trevor D Smith Behavior Technician 7434 S State St, Midvale, UT 84047-2014 2020-09-03
1962965012 Trevor Wayne Smith Student in an Organized Health Care Education/Training Program 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 2019-04-07

Office Location

Street Address 500 W FORT ST # 111R
City BOISE
State ID
Zip Code 83702-4599

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649634718 Elizabeth Ann Schackmann Internal Medicine 500 W Fort St # 111r, Boise, ID 83702-4501 2016-04-05
1396373148 Irina Kratman Student in an Organized Health Care Education/Training Program 500 W Fort St # 111r, Boise, ID 83702-4501 2020-03-28
1316575319 Christina Topham Student in an Organized Health Care Education/Training Program 500 W Fort St # 111r, Boise, ID 83702-4501 2020-03-27
1104454123 Braden Lawrence Student in an Organized Health Care Education/Training Program 500 W Fort St # 111r, Boise, ID 83702-4501 2020-03-27
1255969101 David Yun Internal Medicine 500 W Fort St # 111r, Boise, ID 83702-4501 2020-03-27
1194353169 Aaron Spurlock Student in an Organized Health Care Education/Training Program 500 W Fort St # 111r, Boise, ID 83702-4501 2020-03-27
1285297861 Ryan Hirschi Student in an Organized Health Care Education/Training Program 500 W Fort St # 111r, Boise, ID 83702-4501 2019-04-18
1720540784 Dylan Mogk Internal Medicine 500 W Fort St # 111r, Boise, ID 83702-4501 2019-04-01
1902368970 Abdullahi Ibrahim Mohamed Internal Medicine 500 W Fort St # 111r, Boise, ID 83702-4501 2019-04-01
1316408370 Jared Cory Chin Student in an Organized Health Care Education/Training Program 500 W Fort St # 111r, Boise, ID 83702-4501 2019-03-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790321966 Inland Northwest Neuromonitoring Pllc Psychiatry & Neurology 950 Bannock Street, Suite 1100, Boise, ID 83702 2019-11-22
1508359084 Emily Cook Dietitian, Registered St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 2018-06-11
1265925887 Marla Braendle Dietitian, Registered St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 2018-06-08
1114419678 Sidrah Khan Psychotherapy PC Social Worker 242 N 8th St, Suite 200, Boise, ID 83702 2018-05-31
1508386707 Emp Idaho Nampa, LLC General Acute Care Hospital 350 E Myrtle Street, Suite 100, Boise, ID 83702 2017-06-20
1194264077 Karen Mangum Dietitian, Registered 115 N. Main Street, Suite #203, Boise, ID 83702 2017-02-13
1750828422 Stephen Pyper Massage Therapist 14089 Main St #100, Boise, ID 83702 2017-01-19
1427504398 The Young Mens Christian Association of Boise City Idaho Health Educator 419 N 11th St, Boise, ID 83702 2016-08-30
1942756838 Brent Hiroshi Sasaki Pharmacist 500 West Fort Street (119), Boise, ID 83702 2016-08-30
1578912051 Marnae Walker Counselor 509 S. 14th St, Suite 2, Boise, ID 83702 2016-06-06
Find all providers in zip 83702

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891256004 Ryan Thompson Internal Medicine 400 W Fort St # 111r, Boise, ID 83702-4531 2019-03-29
1518311679 Samantha Hersrud Internal Medicine 500 W Fort St 111r, Internal Medicine Residency, Boise, ID 83702 2016-04-14
1649634718 Elizabeth Ann Schackmann Internal Medicine 500 W Fort St # 111r, Boise, ID 83702-4501 2016-04-05
1134513088 Alex Tanabe Internal Medicine 1000 E Park Blvd, Boise, ID 83712-7791 2015-03-27
1104169283 Jacqueline Kelly Internal Medicine 500 West Fort St. #111, Boise Vamc, Boise, ID 83702 2013-03-27
1083980734 Shanaz Sikder Internal Medicine 403 S 11th St Ste 100, Boise, ID 83702 2012-03-27
1679869473 Allyson J Komori Internal Medicine 500 W Fort St # 111, Suite 202, Boise, ID 83702-4501 2011-06-21
1982929048 Sarita Anisha Kishore Internal Medicine 1970 Toluka Way, Boise, ID 83712-8547 2010-04-01
1568796282 Life Quest Center Inc Internal Medicine 3355 N Five Mile Rd, Ste 284, Boise, ID 83713-3925 2009-09-28
1164673968 Jenifer L Barry Internal Medicine 1525 S Owyhee St, Boise, ID 83705-6014 2008-10-10
Find all providers in BOISE

Competitor

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City BOISE
Zip Code 83702

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Dataset Information

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.

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