Lance Clyde Smith, M.D.
Individual provider Active NPI Family Medicine Physician · Beaver, UT
NPI 1295817708 · NPPES record last updated Nov 30, 2012
Key facts
- NPI
- 1295817708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 62664751205 (UT)
- Practice address
- 1059 N 100 W
Beaver, UT 84713-1690 - Phone
- (435) 438-7280
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 8
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical College of Ohio, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beaver Medical, LLC
Practice addresses (Care Compare)
1059 N 100
Beaver, UT 84713-7758
Phone (435) 438-7280
850 N Main
Milford, UT 84751-0640
Phone (435) 387-2471
PO Box
Suite 1690
Beaver, UT 84713-1690
Hospital & facility affiliations
- Zion'S Way Home Health
- Beaver Valley Home Health
- Beaver Valley Hospice
- Beaver Valley Hospital
- Intermountain Health Cedar City Hospital
- Milford Memorial Hospital
- Intermountain Health Garfield Memorial Hospital
- St. George Regional Hospital
- Beaver Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 14 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Beaver/ Milford Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (33%) | Jan 1, 2010 |
| Parowan Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest | Jan 1, 2010 |
| Beaver Medical, LLC |
Rural health clinic | 5% Or Greater Direct Ownership Interest (33%) | Jan 1, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061218000542 | UT | Practitioner - Family Practice | 0244239374 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62664751205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Valley Hospital | Current |
Accepting new patients | |
| Beaver Medical, LLC | Current |
Accepting new patients | |
| Ihc Health Services, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f694aea7-f3a7-40e8-9148-3e4c7d86718c/
- lance.smith@bmc.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 62664751205 | UT | Yes |
Addresses
Primary practice location
1059 N 100 W
Beaver, UT 84713-1690
Mailing address
PO Box 1690
Beaver, UT 84713-1690
Phone (435) 438-7280
Other providers in Beaver, UT
- Robert L Smith DC
- Bryon Noal Robinson
- Byron Scott Robinson
- Joshua N Robinson
- Kathleen Hanley Rose
- Rhett R Smith
- Roger Hal Smith
- Tony J Smith
- Viven
- Garland James Walker
All providers in Beaver, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.