CRAIG M SMITH (NPI# 1881629202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881629202 |
| Entity Type | Individual |
| Full Name | CRAIG M SMITH |
| Credential | MD |
| Practice Address |
5959 N Discovery Place Boise ID 83713-1556 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083675095 |
| Practice Fax Number | 2083675099 |
| Mailing Telephone | 2083675095 |
| Mailing Fax Number | 2083675099 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2015-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
M-12444 | ID | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
4025 | SD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881140051 | Craig Smith | Pharmacist | 5130 Hershey Ln, West Richland, WA 99353-6043 | 2016-08-28 |
| 1477966422 | Craig Anthony Smith | Specialist/Technologist | 4623 S Race St, Marion, IN 46953-5335 | 2014-06-07 |
| 1497192348 | Craig Allen Smith | Physical Therapist | 1684 S Research Loop Ste 518, Tucson, AZ 85710-6740 | 2013-06-03 |
| 1508112418 | Craig Harlan Smith | Internal Medicine | 4111 E Madison St, #223, Seattle, WA 98112-3241 | 2012-07-29 |
| 1659656619 | Craig Richard Smith | Pharmacist | 7844 Grimes Pine Ln, Saint Germain, WI 54558-8735 | 2011-10-20 |
| 1124326624 | Craig T. Smith | Social Worker | 503 W 2600 S # N, Bountiful, UT 84010-7717 | 2011-03-07 |
| 1558673806 | Craig Lot Smith | Dentist | 2501 N Pearl St, Tacoma, WA 98406-2540 | 2010-07-01 |
| 1407987530 | Craig William Smith | Chiropractor | 4426 W Walton Blvd, Waterford, MI 48329-4073 | 2007-03-08 |
| 1598806648 | Craig C Smith | Dentist | 5373 S Green St, 4th Floor, Salt Lake City, UT 84123-4680 | 2007-02-10 |
| 1437242070 | Craig Shepherd Smith | Radiology | 718 N. Macomb, Monroe, MI 48161 | 2006-10-02 |
| Street Address |
5959 N DISCOVERY PLACE |
| City | BOISE |
| State | ID |
| Zip Code | 83713-1556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508152257 | Tobias P Gopon | Family Medicine | 600 N Robbins Rd Ste 400, Boise, ID 83702-4566 | 2011-06-21 |
| 1215137526 | Dean Edward Lapinel | Family Medicine | 1437 E Braemere Rd, Boise, ID 83702-1857 | 2007-07-24 |
| 1477581122 | Kurt J Nilsson | Family Medicine | 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 | 2006-06-30 |
| 1366822892 | Kaleb Redden | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2015-05-29 |
| 1417143926 | Richard Radnovich Do PC | Family Medicine | 4850 N Rosepoint Way, Suite 100, Boise, ID 83713-5262 | 2007-09-18 |
| 1407944655 | Richard Radnovich | Family Medicine | 4850 N Rosepoint Way, Ste 100, Boise, ID 83713 | 2006-10-11 |
| 1518978337 | Alejandro A Homaechevarria | Family Medicine | 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 | 2006-08-10 |
| 1043216823 | Scot B Scheffel | Family Medicine | 1188 University Dr, Boise, ID 83706 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1801292115 | Idaho State University | Family Medicine | 921 S 8th Ave Stop 8173, Sports and Orthopaedic Center, Pocatello, ID 83209-8173 | 2014-11-13 |
| 1659870517 | Orthoidaho LLC | Family Medicine | 2240 E Center St, Pocatello, ID 83201-2600 | 2018-02-06 |
| 1295094217 | James Kendall Christensen | Family Medicine | 2375 E Sunnyside Rd, Ste F, Idaho Falls, ID 83404-8280 | 2012-05-11 |
| 1770877888 | Anthony Joseph Md Inc | Family Medicine | 333 N 18th Ave, Suite D-1, Pocatello, ID 83201-3358 | 2011-06-06 |
| 1033417035 | Idaho Sports & Spine Pllc | Family Medicine | 950 Hospital Way, Ste A, Pocatello, ID 83201-2789 | 2011-03-01 |
| 1124115944 | Tony C Roisum Md Pa | Family Medicine | 3360 Washington Pkwy, Suite 1, Idaho Falls, ID 83404-8333 | 2006-10-05 |
| 1528092202 | Christopher R Johnson | Family Medicine | 950 Hospital Way, Suite A, Pocatello, ID 83201-2789 | 2006-07-10 |
| 1922092741 | Anthony E Joseph | Family Medicine | 2240 E Center St, Pocatello, ID 83201-2600 | 2005-09-08 |
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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.