Jeffrey D Smith, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-383 Issued in ID

Practice address

7979 W Rifleman St
Boise, ID 83704-9066

Phone

(208) 989-0598

NPI assigned

Oct 7, 2005

Last updated

Sep 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Idaho ClinicGroup PAC ID 5799184362, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke's Regional Medical Center Hospital, Boise, ID, CCN 130006
• Treasure Valley Hospital Hospital, Boise, ID, CCN 130063

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GFFDCD/Endpoint/GFFDCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Idaho Clinic

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Boise, ID
  • NPI 1225629074
  Medicare reassignment Care Compare group
• Allied Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Boise, ID
  • NPI 1750563540
  Medicare reassignment NPD
• Direct Orthopedic Care LLC

  • Orthopaedic Surgery Physician
  • Boise, ID
  • NPI 1356769434
  Medicare reassignment NPD
• Direct Surgical Assist PA

  • Physician Assistant
  • Star, ID
  • NPI 1194017954
  NPD (past) Authorized official
• Allied Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Meridian, ID
  • NPI 1336816909
  NPD
• Richard Lochhead MD PLLC

  • Neurological Surgery Physician
  • Boise, ID
  • NPI 1588063168
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Lukes Regional Medical Center

  dba Air St Luke's

  • Ambulance
  • Boise, ID
  • NPI 1518115195

  Hospital

  Care Compare affiliation
• St Lukes Regional Medical Center

  dba St Lukes Meridian Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794
  Care Compare affiliation
• Treasure Valley Hospital Limited Partnership

  • Special Hospital
  • Boise, ID
  • NPI 1720040132
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1013905793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8985",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837072985",
            "telephone_number": "208-989-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7979 W RIFLEMAN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049066",
            "telephone_number": "208-989-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-383",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "PA383",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806233100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretchen Elizabeth Smith, COTA/L
• Heather Ann Smith, LMSW
• Helen Thu Smith, DDS
• James W Smith, MD
• Jayson Paul Smith, N.P.
• Jennifer K Smith, PHARMD
• Jim B Smith, LMSW
• Jocelynn Smith
• Kaitlyn Rose Smith, M.S., CF-SLP
• Kameryn Loraine Smith

• Physician Assistant in Boise, ID
• Providers in Boise, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.