DR. ANDREW GERALD SMITH (NPI# 1033111810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033111810 |
Entity Type | Individual |
Full Name | DR. ANDREW GERALD SMITH |
Credential | M.D. |
Practice Address |
100 Mario Capecchi Dr Salt Lake City UT 84113-1103 |
Mailing Address |
Po Box 413021 Department of Pediatrics - Inpatient Medicine Salt Lake City UT 84141-3021 |
Practice Telephone | 8016623673 |
Practice Fax Number | 8016623664 |
Mailing Telephone | 8012133900 |
Mailing Fax Number | 8015853655 |
Enumeration Date | 2005-08-11 |
Last Update Date | 2017-06-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 173000000X | Legal Medicine | TL3586 | ID | Other Service Providers |
Y | 208000000X | Pediatrics | 5412561-1205 | UT | Allopathic & Osteopathic Physicians |
N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
5412561-1205 | UT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 807219800 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386259315 | Andrew E Smith | Speech-Language Pathologist | 145 S Central Ave, Columbus, OH 43222-1324 | 2020-09-15 |
1730710781 | Andrew Bodkin Smith | Registered Nurse | 550 Orchard Park Rd Ste B103, West Seneca, NY 14224-2655 | 2020-01-29 |
1831656065 | Andrew Robert Smith | Specialist/Technologist | 1001 Uta Blvd Apt 128c, Arlington, TX 76013-6937 | 2019-02-24 |
1689138273 | Andrew Dylan Smith | Student in an Organized Health Care Education/Training Program | 3900 Yorktowne Blvd Apt 4801, Port Orange, FL 32129-6033 | 2019-01-28 |
1619459385 | Andrew Jay Smith | Massage Therapist | 369 Rutland Rd Apt 2l, Brooklyn, NY 11225-5577 | 2018-08-29 |
1588153845 | Andrew Michael Smith | Student in an Organized Health Care Education/Training Program | 462 Grider Street 206 Dk Miller Building, Erie County, Buffalo, NY 14215 | 2018-05-02 |
1013427277 | Andrew Smith | Case Manager/Care Coordinator | 8430 Gibbs Pl, Philadelphia, PA 19153-1909 | 2017-10-02 |
1144778630 | Andrew Smith | Nurse Anesthetist, Certified Registered | 622 West 168th Street, New York, NY 10032 | 2016-09-14 |
1891158762 | Andrew W Smith | Student in an Organized Health Care Education/Training Program | 827 22nd St Sw, Puyallup, WA 98371-8701 | 2016-03-29 |
1710379987 | Andrew Smith | Licensed Practical Nurse | 1466 E 45th St, Brooklyn, NY 11234-3004 | 2015-02-25 |
Street Address |
100 MARIO CAPECCHI DR |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84113-1103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235535485 | Ihc Health Services Inc | Clinic/Center | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-11-17 |
1508262833 | Aimee Brierley | Occupational Therapist | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-11-13 |
1801290986 | Jeffery Zobell | Pharmacist | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-10-17 |
1336542778 | Bevan Jensen | Pharmacist | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-09-30 |
1699183152 | Kristina Rogers | Dentist | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-07-29 |
1548677297 | Stephanie Eva Wisniewski | Speech-Language Pathologist | 100 Mario Capecchi Dr, Primary Children's Rehab, Salt Lake City, UT 84113-1103 | 2014-07-15 |
1184044877 | Adam Wesley Dell | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-04-21 |
1225456718 | Bhanu Muniyappa | Pediatrics | 100 Mario Capecchi Dr, Pediatrics Residency Program, Salt Lake City, UT 84113-1103 | 2014-04-01 |
1265850952 | Kristina Gulliver | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-03-31 |
1003233040 | Kaitlin Carpenter | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-03-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
1154612117 | Dana Boucek | Pediatrics | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | 2011-04-26 |
1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
1457682072 | Elizabeth K Cho | Nurse Practitioner | 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 | 2010-01-21 |
1528290848 | Nancy Crandell Brown | Nurse Practitioner | 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 | 2009-08-20 |
1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
1467697235 | Tara Hook | Physical Therapist | 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 | 2008-12-09 |
1144474768 | Jennifer K Workman | Pediatrics | 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 | 2008-11-10 |
Find all providers in zip 84113 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619430303 | Hailey N. Baisch | Pediatrics | 81 N Mario Capecchi Dr Rm 1a.001, Salt Lake City, UT 84113-1125 | 2019-04-09 |
1811415565 | Community Health Centers, Inc. | Pediatrics | 324 Tenth Ave Ste 249, Salt Lake City, UT 84103-2889 | 2017-09-01 |
1033566658 | Kathryn Eleanor Curry Gradick | Pediatrics | University of Utah 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2016-05-24 |
1134582935 | Bradley Kramer | Pediatrics | 1140 E 3900 S Ste 360, Salt Lake City, UT 84124-1247 | 2016-03-30 |
1831523828 | Max Shaw Perelman | Pediatrics | 515 E 100 S, Suite 200, Salt Lake City, UT 84102-4211 | 2013-08-26 |
1780950147 | Jonathan Wheatley Schmidt | Pediatrics | University of Utah 30 N 900 E, Salt Lake City, UT 84132-0001 | 2012-03-29 |
1942508619 | Charles Elliott Richards | Pediatrics | 767 Sunrise Ave, Salt Lake City, UT 84103-3735 | 2011-03-04 |
1922331479 | David Ray Thomas | Pediatrics | 2795 Casto Ln, Salt Lake City, UT 84117-6304 | 2009-09-16 |
1417101882 | Scott Szucs Carleton | Pediatrics | 1225 3rd Ave, Salt Lake City, UT 84103-4338 | 2008-11-11 |
1063665032 | Jennifer Goldman Luthy | Pediatrics | University Pediatric Clinic, 50 N Medical Drive, Salt Lake City, UT 84132-0001 | 2008-11-04 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84113 |
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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.