Caren J Smith in Idaho Falls - Physician Assistant
Caren J Smith - NPI 1164584074
Caren J Smith is a Physician Assistant in Idaho Falls, Idaho. Caren J Smith practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Caren J Smith is 1164584074. The last update date is 2010-01-26.
Caren J Smith's current location address is 765 S Utah Ave, Idaho Falls, Idaho. You can contact this provider via phone number 2085252600 and fax number 2085252611. The mailing address for Caren J Smith is 765 S Utah Ave, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Caren J Smith |
|---|---|
| Address | 765 S Utah Ave, Idaho Falls, Idaho |
| Phone Number | 2085252600 |
| Fax Number | 2085252611 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1164584074 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2010-01-26 |
Provider Mailing Address Detail
| Address | 765 S Utah Ave |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834025093 |
| Phone Number | 2085252600 |
| Fax Number | 2085252611 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA-647 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16681774 | ID | MEDICARE PTAN |
Post Comment/ Review Below
What is the Caren J Smith's unique identification number?
The Caren J Smith has been assigned the NPI (National Provider Identifier) Number 1164584074 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Caren J Smith is geographically located?
The Caren J Smith is physically situated at the following location: 765 S Utah Ave, Idaho Falls, ID, 834025093.
What is the Caren J Smith's area of specialization and corresponding taxonomy classification?
The Caren J Smith's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164584074 to Caren J Smith?
The Centers for Medicare & Medicaid Services originally issued the 1164584074 to Caren J Smith on 2006-12-15.
As of what date was the information regarding Caren J Smith, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Caren J Smith, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-01-26.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH