Roger Hal Smith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1425461205 Issued in UT

Practice address

1059 N 100 W
Beaver, UT 84713-1690

Phone

(435) 438-7280

Fax

(435) 438-7210

NPI assigned

Jul 1, 2005

Last updated

Nov 30, 2012By 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 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Beaver Medical, LLC

  dba Beaver Medical Clinic

  • Rural Health Clinic/Center
  • Beaver, UT
  • NPI 1770570202
  Medicare reassignment NPD
• Beaver Valley Hospital

  • General Acute Care Hospital
  • Beaver, UT
  • NPI 1144436429
  Medicare reassignment NPD
• Beaver Valley Hospital

  • Critical Access Hospital
  • Beaver, UT
  • NPI 1174979108
  Medicare reassignment NPD
• Beaver Valley Hospital

  dba Alpine Meadow Rehabilitation and Nursing

  • Skilled Nursing Facility
  • West Valley City, UT
  • NPI 1942650148
  NPD

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1043217268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1690",
            "city": "BEAVER",
            "state": "UT",
            "postal_code": "847131690",
            "telephone_number": "435-438-7280",
            "fax_number": "435-438-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 N 100 W",
            "city": "BEAVER",
            "state": "UT",
            "postal_code": "847131690",
            "telephone_number": "435-438-7280",
            "fax_number": "435-438-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROGER",
        "middle_name": "HAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "1425461205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06706",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Byron Scott Robinson, PHARM.D.
• Joshua N Robinson
• Kathleen Hanley Rose, LCSW
• Lance Clyde Smith, M.D.
• Rhett R Smith, M.D.
• Tony J Smith, PHARMD.
• Viven (Safe Zone)
• Garland James Walker
• Joan Yardley, A.P. R.N.

• Family Medicine Physician in Beaver, UT
• Providers in Beaver, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.