WALLACE AUSTIN SMITH


Address: 383 S 300 E, St George, UT 84770-3620
Phone: 4356282826

WALLACE AUSTIN SMITH (NPI# 1376800532) 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) 1376800532
Entity Type Individual
Full Name WALLACE AUSTIN SMITH
Credential M.D.
Practice Address 383 S 300 E
St George
UT 84770-3620
Practice Telephone 4356282826
Practice Fax Number 4356282839
Mailing Telephone 4356282826
Mailing Fax Number 4356282839
Enumeration Date 2012-04-12
Last Update Date 2016-09-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology 16478 NV Allopathic & Osteopathic Physicians
Y 207N00000X Dermatology 9791675-1205 UT Allopathic & Osteopathic Physicians

Other Providers WALLACE SMITH

NPI Name Taxonomy Address Enumeration
1871786830 Wallace Harden Smith II Psychiatry & Neurology 3120 Cambridge Rd, Charlotte, NC 28209-1304 2007-08-23
1669813440 Wallace Earl Smith Counselor 1801 Vicente St, San Francisco, CA 94116-2923 2013-07-09
1134393010 Wallace Kent Smith Physical Therapy Assistant 3703 W Lake Ave, Suite 200, Glenview, IL 60026-5823 2008-04-22
1750376935 Wallace D Smith Obstetrics & Gynecology 620 Medical Dr, Suite 340, Bountiful, UT 84010-4908 2005-09-14

Office Location

Street Address 383 S 300 E
City ST GEORGE
State UT
Zip Code 84770-3620

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508832726 Dean W Duke Dermatology 383 S 300 E, St George, UT 84770 2006-02-27
1689016875 Jordan Michelle Christensen Nurse Practitioner 383 S 300 E, St George, UT 84770-3620 2013-07-29
1811105745 Greg Robert Jacobsen Dermatology 383 S 300 E, St George, UT 84770-3620 2007-05-21
1891749560 Scott Condie Physician Assistant 383 S 300 E, St George, UT 84770-3620 2006-05-19
1619929783 Southwest Skin and Cancer LLC Specialist 383 S 300 E, St George, UT 84770-3620 2006-05-17
1215989645 Tim Nowatzke Physician Assistant 383 S 300 E, St George, UT 84770-3620 2006-05-16
1164499836 W Bret Smith Dermatology 383 S 300 E, St George, UT 84770 2006-03-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740808500 Redstone Reference Laboratories Inc Clinical Medical Laboratory 556 N Dixie Drive, Suite 2, St George, UT 84770 2020-07-08
1033776315 Ecko Ashmore Marriage & Family Therapist 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 2019-05-22
1740844679 Amy Darragh Behavior Technician 249 E Tabernacle St, Ste 100, St George, UT 84770 2019-04-25
1124598198 Loren Kyle Gulbranson Internal Medicine Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 2018-12-03
1487150728 Sound Sleep Medical LLC Durable Medical Equipment & Medical Supplies 640 East 700 South Building 2, St. George, UT 84770 2018-04-04
1588162911 Desert Edge Medical Family Medicine 1664 S Dixie Dr Ste D201, St George, UT 84770 2018-01-31
1568981314 Jeffrey Joseph Peterson Behavior Technician 162 N 400 E Ste A-105, St. George, UT 84770 2017-09-13
1992242549 Zachary Carey Specialist/Technologist 1115 W Diamond Valley Dr, Saint George, UT 84770 2017-01-20
1669920427 Charles Taylor Church Technician, Other 474 West 200 East, St. George, UT 84770 2016-09-21
1952755480 Hollystic Hideaway Voluntary or Charitable 1418 W Sunset Blvd. # 2, Saint George, UT 84770 2016-04-21
Find all providers in zip 84770

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598261869 Tuttle Dermatology PC Dermatology 617 E Riverside Dr Ste 103, St George, UT 84790-8049 2018-04-04
1417467986 Red Ledges Dermatology Pllc Dermatology 1449 N 1400 W Ste 22, St George, UT 84770-5237 2017-10-10
1841435021 April Larson Md, PC Dermatology 169 W 2710 South Cir, Suite 101, St George, UT 84790-7201 2008-12-02
1356531438 Marie S Tuttle Dermatology 652 S Medical Center Dr Ste 300, St George, UT 84790 2007-07-26
1174693733 Bruce Grant Lyman Bishop Dermatology 552 N Dixie Dr, St George, UT 84770-5551 2006-11-09
1508832726 Dean W Duke Dermatology 383 S 300 E, St George, UT 84770 2006-02-27
1164690467 Robin Berger Md PC Dermatology 640 E 700 S, Suite 1, St George, UT 84770-4023 2008-02-20
1285825059 Ihc Health Services Inc Dermatology 652 S Medical Center Dr, Ste 300, St George, UT 84790-7049 2007-08-07
1093919912 Benjamin Gill Carter Dermatology 1068 E Riverside Dr, St George, UT 84790-4477 2007-06-13
1811105745 Greg Robert Jacobsen Dermatology 383 S 300 E, St George, UT 84770-3620 2007-05-21
Find all providers in ST GEORGE

Competitor

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City ST GEORGE
Zip Code 84770

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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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