Scott Alan Smith, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

O-257 Issued in ID

Practice address

3067 Eagle Dr
Ammon, ID 83406-1273

Phone

(208) 522-4600

Fax

(208) 552-7521

NPI assigned

Sep 8, 2005

Last updated

Nov 19, 2020By 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 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Cristina Leon, DO PA

  • Pediatric Cardiology Physician
  • Ammon, ID
  • NPI 1598383929
  NPD
• Just 4 Kids Pediatrics

  • Pediatrics Physician
  • Ammon, ID
  • NPI 1366560971
  NPD

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1043204746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3067 EAGLE DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834061273",
            "telephone_number": "208-522-4600",
            "fax_number": "208-552-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3067 EAGLE DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834061273",
            "telephone_number": "208-522-4600",
            "fax_number": "208-552-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "O-257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806039800",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "42283",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010032253",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debbie Smith, LCSW
• Julie Smith, PHARMACIST
• Michael Brian Smith, NMD, MS
• Randall G. Smith
• Ryan Mark Smith, M.S.
• SNF Ammon Operating Company LLC. (Promontory Point Rehabilitation)
• Baylee Jo Sorenson, LMSW
• Regan Spanbauer
• Speech and Language Clinic, Inc
• Spine Align Chiropractic Inc

• Pediatrics Physician in Ammon, ID
• Providers in Ammon, ID by specialty
• Pediatrics Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.