Organization Active NPI

Robert F. Smith, MD, PLLC

  • Family Medicine Physician
  • Boise, ID
National Provider Identifier
1942676598
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M5963 Issued in ID
Legal business name
ROBERT F. SMITH, MD, PLLC
Practice address
320 N Collins Rd
Boise, ID 83702-4519
Phone
(208) 866-2473
NPI assigned
Aug 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Authorized official

Name
Dr. Robert F. Smith, M.D.
Title
Manager/Sole Member
Phone
(208) 866-2473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X M5963 ID Primary

Addresses

Primary practice location

320 N Collins Rd
Boise, ID 83702-4519

Mailing address

124 N Coston St
Boise, ID 83712-8101
Phone (208) 866-2473

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1942676598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N COSTON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837128101",
            "telephone_number": "208-866-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N COLLINS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024519",
            "telephone_number": "208-866-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT F. SMITH, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MANAGER/SOLE MEMBER",
        "authorized_official_telephone_number": "208-866-2473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M5963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.