Barrie Von Smith, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

M-3278 Issued in ID

Practice address

119 N Wardwell Ave
Emmett, ID 83617-3040

Phone

(208) 365-6311

Fax

(208) 365-1003

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/

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

• The Smith Clinic

  • Family Medicine Physician
  • Emmett, ID
  • NPI 1154357614
  NPD (past) Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013949940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 E BLACK CANYON HWY",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179501",
            "telephone_number": "208-365-6660",
            "fax_number": "208-365-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N WARDWELL AVE",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836173040",
            "telephone_number": "208-365-6311",
            "fax_number": "208-365-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BARRIE",
        "middle_name": "VON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "M-3278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel D Shaffer
• David M. Shuey II, PA-C
• Sloan Psychiatric Care PLLC
• Mitchell John Smarda
• Bradley Dean Smelcer, OWNER
• Cynthia K Smith, L.M.T.
• Gale M Smith
• Samantha Smith, LPC
• Stephanie Kay Smith, LCSW
• Raina Soteros

• Specialist in Emmett, ID
• Providers in Emmett, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.