GREGORY B SMITH (NPI# 1255377222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255377222 |
| Entity Type | Individual |
| Full Name | GREGORY B SMITH |
| Credential | MD |
| Practice Address |
1055 N 500 W Suite 112 Provo UT 84604-3305 |
| Mailing Address |
1055 N 500 W Credentialing Department Provo UT 84604-3305 |
| Practice Telephone | 8018124624 |
| Practice Fax Number | 8018124699 |
| Mailing Telephone | 8013548225 |
| Mailing Fax Number | 8014180941 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
5355080-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PALMETTO GBA | P00148585 | 01 | |
| UT | ALTIUS | 219637 | 01 |
| UT | 870281028000 | 05 | |
| UT | IHC | 107031310101 | 01 |
| UT | UNITED HEALTHCARE | 16-00712 | 01 |
| UT | PEHP | 78938 | 01 |
| UT | EMIA | 870281028GBS | 01 |
| UT | DMBA | 868806 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870635 | Gregory Robert Smith | In Home Supportive Care | 3954 Mount Vernon Blvd Apt 1b, Norton, OH 44203-9512 | 2020-10-28 |
| 1376012740 | Gregory Roy Smith Sr. | Counselor | Alleeweg 2, Velburg, BAVARIA 92355 | 2018-11-15 |
| 1609398528 | Gregory Allen Smith | Community Health Worker | 203 Clark Dr, Columbia, TN 38401 | 2017-07-12 |
| 1629503438 | Gregory Smith | Massage Therapist | 3819 Cambria Pl, Colorado Springs, CO 80918-2362 | 2017-04-29 |
| 1598120362 | Gregory Smith | Counselor | 2124 Moores Mill Rd, Auburn, AL 36830-8468 | 2015-12-22 |
| 1902270945 | Gregory Carleton Smith | Marriage & Family Therapist | 1924 4th Street, San Rafael, CA 94901 | 2015-11-13 |
| 1124414370 | Gregory Smith | Anesthesiology | 567 Sand Hill Rd, Wantagh, NY 11793-1312 | 2015-04-14 |
| 1033515762 | Gregory Allan Smith | Chiropractor | 1300 N Bryant Ave, Ste. 100, Moore, OK 73160 | 2014-11-06 |
| 1326450735 | Gregory Smith | Massage Therapist | 5029 Shaw Ave, Saint Louis, MO 63110-3021 | 2014-05-20 |
| 1972882603 | Gregory Douglas Smith | Pharmacist | 6580 Snowdrift Rd, Suite 100, Allentown, PA 18106-9331 | 2011-08-11 |
| Street Address |
1055 N 500 W SUITE 112 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223835 | Bruce C Mcallister | Specialist | 1055 N 500 W, Suite 102, Provo, UT 84604-3305 | 2005-05-27 |
| 1922641448 | Lilian Silva Dana | Nurse Practitioner | 1055 N 500 W, Suite. 222, Bldg. C, Provo, UT 84604 | 2019-10-28 |
| 1407373574 | Kristie Christensen | Nurse Practitioner | 1055 N 500 W, Ste 101, Bldg C, Provo, UT 84604-3305 | 2017-08-29 |
| 1942664867 | Holly Ann Bishop Michaels | Dietitian, Registered | 1055 N 500 W, Attn. Credentialing, Provo, UT 84604-3305 | 2016-04-06 |
| 1841650967 | Maile Yuzon | Physician Assistant | 1055 N 500 W, Ste 212, Provo, UT 84604-3305 | 2016-03-02 |
| 1497127658 | Kayla Hamrick Lussier | Nurse Practitioner | 1055 N 500 W, Suite 212, Provo, UT 84604-3305 | 2015-10-28 |
| 1962873281 | Ryan Francis | Nurse Practitioner | 1055 N 500 W, Ste 121, Provo, UT 84604-3305 | 2015-10-13 |
| 1083082283 | Leslee Ronald Adams | Registered Nurse | 1055 N 500 W, Ste 211, Provo, UT 84604-3305 | 2015-09-04 |
| 1750763629 | Cydne Suzannah Baird Evans | Physician Assistant | 1055 N 500 W, Ste 100, Provo, UT 84604-3305 | 2015-06-26 |
| 1073903720 | Rosanne Johnson Oliver | Nurse Practitioner | 1055 N 500 W, Ste 205, Provo, UT 84604-3305 | 2015-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487090528 | Wendell Andrew Gibby | Radiology | 3152 N University Ave Dept Of, Provo, UT 84604-4745 | 2013-05-16 |
| 1457688590 | James Edwin Rasband | Radiology | 3757 Pebble Ln, Provo, UT 84604-5267 | 2009-11-11 |
| 1003291568 | Ihc Health Services Inc | Radiology | 1034 N 500 W, Provo, UT 84604-3380 | 2015-07-27 |
| 1750704532 | Notus Imaging and Research Laboratories | Radiology | 280 River Park Dr, Suite 100, Provo, UT 84604-5764 | 2014-01-29 |
| 1750624979 | Conrad Curtis Gibby | Radiology | 3152 N University Ave, Provo, UT 84604-4745 | 2013-04-06 |
| 1982846119 | Benjamin Clark Jacobs | Radiology | 1055 N 500 W, Ste 112, Provo, UT 84604-3305 | 2009-04-02 |
| 1922248202 | Richard Taylor Jackson II | Radiology | 1055 N 500 W, Suite 112, Provo, UT 84604-3305 | 2009-02-26 |
| 1033371760 | Daniel Lyman Corey | Radiology | 1034 N 500 W, Provo, UT 84604-3380 | 2008-06-25 |
| 1316106131 | Fred Jeston Dawson | Radiology | 1055 N 500 W, Suite 112, Provo, UT 84604-3305 | 2008-06-06 |
| 1316113228 | Kimball Lael Christianson | Radiology | 1055 N 500 W, Suite 112, Bldg. C, Provo, UT 84604 | 2008-05-01 |
| Find all providers in PROVO | ||||
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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.