SMP Family Medicine, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

56658201205 Issued in UT

Legal business name

SMP FAMILY MEDICINE, PC

Practice address

1220 E 3900 S
Suite 4a
Salt Lake City, UT 84124-1377

Phone

(801) 747-0922

Fax

(801) 747-0924

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Nicola Irene Riley, M.D.

Title

Owner

Phone

(801) 747-0922

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Blaine G. Campbell, NP

  • Family Nurse Practitioner
  • Murray, UT
  • NPI 1326017542
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1083642151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840910932",
            "telephone_number": "801-553-9568",
            "fax_number": "801-553-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S",
            "address_2": "SUITE 4A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241377",
            "telephone_number": "801-747-0922",
            "fax_number": "801-747-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMP FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-747-0922",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "56658201205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099643665001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makayla Dawn Smittenaar
• Holly Smock, PA-C
• Kristi Johnson Smock, M.D.
• Mindy N Smolka
• David Joseph Smoot, DDS
• Courtney Skye Smullin
• Katelin Snable, LCSW
• Tamber Layne Snarr, LCSW
• Sarah Snedaker
• Sydney Rae Sneddon

• Family Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, 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 3, 2008; 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.