Wade T Smith, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

6177042-1204 Issued in UT

Practice address

3580 W 9000 S
West Jordan, UT 84088-8812

Phone

(801) 993-9527

NPI assigned

Jul 7, 2006

Last updated

Jul 8, 2007By 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

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

Specialty

Anesthesiology

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pediatric Anesthesiologists IncGroup PAC ID 4385618578, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Pediatric Anesthesiologists Inc

  • Anesthesiology Physician
  • Salt Lake City, UT
  • NPI 1417965799
  Medicare reassignment Care Compare group NPD
• Wade T. Smith, DO

  • Anesthesiology Physician
  • West Jordan, UT
  • NPI 1033143177
  NPD (past) Authorized official
• Family Surgical Suite

  • Ambulatory Surgical Clinic/Center
  • West Jordan, UT
  • NPI 1508040221
  NPD (past)
• Intermountain Anesthesia Consultants LLC

  • Anesthesiology Physician
  • West Jordan, UT
  • NPI 1205865029
  NPD (past)
• Utah Pain Management PC

  • Anesthesiology Physician
  • Ogden, UT
  • NPI 1598778581
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255363164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 E MILLCREEK RD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841093859",
            "telephone_number": "801-910-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888812",
            "telephone_number": "801-993-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WADE",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "6177042-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Denise Smith, COTA
• Kamary Smith
• Margaret Jane Smith, PH.D.
• Milagros S Smith
• Natasha Smith
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #495)
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #139)
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #158)
• Smiths Food & Drug Centers Inc (Smith's Pharmacy #274)
• Ronnie Brooke Smolik, RN

• Anesthesiology Physician in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Anesthesiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.