ANDREW SMITH (NPI# 1164468955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164468955 |
| Entity Type | Individual |
| Full Name | ANDREW SMITH |
| Credential | MD |
| Practice Address |
6095 S Fashion Blvd Ste 100 Murray UT 84107-7377 |
| Practice Telephone | (801) 263-8700 |
| Practice Fax Number | 8012638693 |
| Mailing Telephone | (801) 263-8700 |
| Mailing Fax Number | 8012638693 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 8771272-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 35084855 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 000000351769 | 01 | |
| UNITED | 0409999 | 01 | |
| AMERIGROUP | 283621 | 01 | |
| AETNA | 659345 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3855 W 7800 S, West Jordan, UT 840885560 | 8012828700 | 8012823305 |
| 8444 Winton Rd, Cincinnati, OH 452314927 | 5139310775 | 5139310779 |
| 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 |
6095 S FASHION BLVD STE 100 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-7377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760860134 | Tara Sarin | Allergy & Immunology | 6095 S Fashion Blvd Ste 100, Murray, UT 84107-7377 | 2015-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295989630 | Dorian J Carroll | Allergy & Immunology | 6095 Fashion Blvd Ste 100, Murray, UT 84107-7377 | 2008-11-12 |
| 1639369853 | Loida Viera-hutchins | Allergy & Immunology | 5296 S Commerce Dr, Murray, UT 84107-4767 | 2007-07-25 |
| 1912906330 | Charles Mitchell Rogers | Allergy & Immunology | 6095 Fashion Blvd, Suite# 100, Murray, UT 84107-7397 | 2005-07-18 |
| 1477555712 | David Scott Gourley | Allergy & Immunology | 6065 S Fashion Blvd, Ste 255, Murray, UT 84107-7381 | 2005-06-01 |
| 1801341961 | Allergy Associates of Utah, P.C. | Allergy & Immunology | 6095 S Fashion Blvd, Suite 100, Murray, UT 84107-7397 | 2016-08-18 |
| 1760860134 | Tara Sarin | Allergy & Immunology | 6095 S Fashion Blvd Ste 100, Murray, UT 84107-7377 | 2015-05-18 |
| 1518287846 | Jonathan Ashton Olsen | Allergy & Immunology | 5296 S Commerce Dr, Suite 104, Murray, UT 84107-4767 | 2010-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912562240 | Edwin Ansell Bronsky | Allergy & Immunology | 3700 E Millstream Dr, Salt Lake City, UT 84109-3221 | 2019-05-02 |
| 1447460274 | Ahmad Sami Halwani | Allergy & Immunology | Health Information Dpt of Utah Hospital, 50 North Medical Drive, Room Aa241 Som, Salt Lake City, UT 84132-0001 | 2007-05-23 |
| 1124163902 | Southern Utah Allergy and Asthma Clinic PC | Allergy & Immunology | 515 S 300 E Ste 101, Saint George, UT 84770-3931 | 2007-02-20 |
| 1700859907 | Eric C Chenworth | Allergy & Immunology | 24 S 1100 E Ste 201, Salt Lake City, UT 84102-1554 | 2006-02-08 |
| 1154307197 | Marc O Anderson | Allergy & Immunology | 2121 No 1700 W, Layton, UT 84041 | 2005-12-21 |
| 1275535411 | Duane Jones Harris | Allergy & Immunology | 12422 S 450 E, Ste C, Draper, UT 84020-5645 | 2005-06-01 |
| 1972505212 | Alan Fetzer Bitner | Allergy & Immunology | 389 South 900 East, Salt Lake City, UT 84102 | 2005-06-01 |
| 1720080062 | Joseph Robert Anderson Jr. | Allergy & Immunology | 5929 Fashion Point Dr, Suite 101, Ogden, UT 84403-4672 | 2005-06-01 |
| 1770043317 | Christopher Gordon Do, LLC | Allergy & Immunology | 745 N 500 W Ste 200, Provo, UT 84601-1472 | 2019-03-20 |
| 1114354834 | Jennifer Peck Bunker | Allergy & Immunology | 2121 N 1700 W, Layton, UT 84041-8803 | 2013-09-27 |
| Find all providers with the same taxonomy | ||||
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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.