Christian Smith

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

12366062-1501 Issued in UT

Practice address

5169 S Cottonwood St Ste 303
Murray, UT 84107-6768

Phone

(800) 548-6672

NPI assigned

Mar 26, 2020

Last updated

Jun 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Arizona Podiatric Med Program at Midwestern Un, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utah Podiatry Group LLCGroup PAC ID 2163592379, 14 clinicians

Utah Podiatric Physicians and Surgeons Group LLCGroup PAC ID 4183946940, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Medical Center Hospital, Murray, UT, CCN 460010
• St Mark's Hospital Hospital, Salt Lake City, UT, CCN 460047

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Utah Podiatric Physicians and Surgeons Group LLC

  dba Utah Musculoskeletal Specialists (UMS)

  • Podiatrist
  • Salt Lake City, UT
  • NPI 1174942460

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Utah Podiatry Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Salt Lake City, UT
  • NPI 1659540359

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Utah Podiatric Physicians and Surgeons Group LLC

  dba Utah Musculoskeletal Specialists

  • Podiatrist
  • Salt Lake City, UT
  • NPI 1720795586

  Single Specialty

  NPD
• Craig J Campbell DPM PC

  • Podiatric Clinic/Center
  • Salt Lake City, UT
  • NPI 1922334317

  Single Specialty

  NPD (past)
• Craig J Campbell DPM PC

  • Durable Medical Equipment & Medical Supplies
  • Salt Lake City, UT
  • NPI 1962962407
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc.

  dba Intermountain Health Intermountain Medical Center

  • General Acute Care Hospital
  • Murray, UT
  • NPI 1043220650
  Care Compare affiliation
• Northern Utah Healthcare Corporation

  dba St. Mark's Hospital

  • General Acute Care Hospital
  • Salt Lake City, UT
  • NPI 1164469243
  Care Compare affiliation

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687651200000",
    "number": "1366079493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 TIGER LN",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993528001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5169 S COTTONWOOD ST STE 303",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076768",
            "telephone_number": "800-548-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2023-06-25",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "12366062-1501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allee Smith
• Amber Smith
• Amra Rose Starchild Smith
• Andrew Mark Smith, D.M.D.
• Bradley W Smith, MD
• Clara Smith
• Daniel Smith, FNP
• Emily Lott Smith, MS, CCC-SLP
• Emily S Smith, PA
• Erica Lynn Smith, M.D.

• Foot & Ankle Surgery Podiatrist in Murray, UT
• Providers in Murray, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2023; 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.