George W.J. Smith, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

1434931205 Issued in UT

Practice address

5457 Cottonwood Club Dr
Salt Lake City, UT 84117-7549

Phone

(801) 277-4941

NPI assigned

Sep 11, 2008

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1205085412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5457 COTTONWOOD CLUB DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177549",
            "telephone_number": "801-277-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 COTTONWOOD CLUB DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177549",
            "telephone_number": "801-277-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GEORGE",
        "middle_name": "W.J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "1434931205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Beale Smith, PA-C
• Eve Smith, L.C.S.W.
• Fredrick Paul Smith
• Garrett Smith, MD
• George Adam Smith
• Grace Annabelle Smith
• Gracie Smith
• Grant Arthur Smith
• Gregory B. Smith, DDS
• Gregory Eshima Smith, M.D.

• Psychiatry Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.