Lance C Smith (NPI# 1295817708, PAC ID# 0244239374) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1295817708 |
| PAC ID by PECOS | 0244239374 |
| Professional Enrollment ID | I20061218000542 |
| Full Name | Lance C Smith |
| Organization Legal Name | BEAVER MEDICAL, LLC |
| Address |
1059 N 100 Beaver UT 84713-7758 |
| Phone Number | 4354387280 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF OHIO |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2365352036 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 461335 | BEAVER VALLEY HOSPITAL |
| 461305 | MILFORD VALLEY MEMORIAL HOSPITAL |
| 460007 | CEDAR CITY HOSPITAL |
| 460021 | DIXIE REGIONAL MEDICAL CENTER |
| 461333 | GARFIELD MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1059 N 100, Beaver, UT 84713-7758 | 4354387280 | BEAVER MEDICAL, LLC |
| 850 N Main, Milford, UT 84751-0640 | 4353872471 | BEAVER MEDICAL, LLC |
| Organization Legal Name | BEAVER MEDICAL, LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin R Horton | Nurse Practitioner | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Wade Hollingshead | Nurse Practitioner | Beaver Medical, LLC | 850 N Main, Milford, UT 84751-0640 |
| Byron Noal Robinson | Family Practice | Beaver Medical, LLC | 451 N Main, Milford, UT 84751-0640 |
| Rebecca S Rasmusson | Nurse Practitioner | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Richard Wade Oakden | Family Medicine | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Rhett Roger Smith | Family Medicine | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Joan Lee Yardley | Nurse Practitioner | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Lindsay A Cheney | Nurse Practitioner | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Roger Smith | Family Practice | Beaver Medical, LLC | 850 N Main, Milford, UT 84751-0640 |
| Kenneth L Hussey | Physician Assistant | Beaver Medical, LLC | 850 N Main, Milford, UT 84751-0640 |
| Street Address |
1059 N 100 |
| City | BEAVER |
| State | UT |
| Zip | 84713-7758 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin R Horton | Nurse Practitioner | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Rebecca S Rasmusson | Nurse Practitioner | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Richard Wade Oakden | Family Medicine | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Rhett Roger Smith | Family Medicine | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Joan Lee Yardley | Nurse Practitioner | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Lindsay A Cheney | Nurse Practitioner | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen H Rose | Clinical Social Worker | Southwest Center | 75 W 1175, Southwest Center/southwest Behavioral Health Cente, Beaver, UT 84713 |
| Paul L Marshall | Clinical Social Worker | Beaver Valley Hospital | 1109 N 100, Beaver, UT 84713-1670 |
| Scott A Langford | Clinical Social Worker | Beaver Valley Hospital | 1109 N 100, Beaver, UT 84713-1670 |
| Donald L Mangum | Chiropractic | 60 N Main St, Beaver, UT 84713-7729 | |
| David R Albrecht | Optometry | 15 S 100, Beaver, UT 84713-7854 |
| City | BEAVER |
| Zip Code | 84713 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BEAVER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Lance C Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.