Wayne E Smith MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

1592731205 Issued in UT

Legal business name

WAYNE E SMITH MD PC

Practice address

5333 S Adams Ave Pkwy
Suite C
Washington Terrace, UT 84405

Phone

(801) 479-6200

Fax

(801) 479-1698

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Wayne Edward Smith, MD

Title

Owner

Phone

(801) 479-6200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194938191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 S ADAMS AVE PKWY",
            "address_2": "SUITE C",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-479-6200",
            "fax_number": "801-479-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 S ADAMS AVE PKWY",
            "address_2": "SUITE C",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-479-6200",
            "fax_number": "801-479-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE E SMITH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-479-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "1592731205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI#",
            "identifier": "1164404497",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Washington Terrace, UT
• Providers in Washington Terrace, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.