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SMITH CLINIC P A
NPI 1891993713
Family Medicine in Ammon, ID

Active since July 03, 2007
3669 ELLENDALE CIR, AMMON, ID 83406(208) 521-5936(208) 524-5608 Get Directions Write a Review

NPPES record last updated: February 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Smith Clinic P A NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMITH CLINIC P A (NPI 1891993713) is a healthcare organization registered as a family medicine in Ammon, Idaho and active in the NPI registry since July 2007. The organization lists Oliver D Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1891993713
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSMITH CLINIC P A
Location Address3669 ELLENDALE CIRAmmon, ID 83406-4749
Mailing Address3669 Ellendale CircleIdaho Falls, ID 83406 · (208) 521-5936 · Fax (208) 524-5608
Phone(208) 521-5936
Fax(208) 524-5608
Organization SubpartNo
Authorized OfficialOliver D SmithOwner · (208) 521-5936
Enumeration DateJuly 3, 2007
Last NPPES UpdateFebruary 21, 2008
✔ NPI 1891993713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3669 ELLENDALE CIR, Ammon, ID 83406
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Other Identifiers 1

Medicare ID-Type Unspecified1376755ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smith Clinic P A's NPI number?

The NPI number for Smith Clinic P A is 1891993713. It was assigned to this organization in the NPPES registry on July 3, 2007.

Where is Smith Clinic P A located?

Smith Clinic P A is located at 3669 Ellendale Cir, Ammon, ID 83406. The listed phone number is (208) 521-5936.

What is Smith Clinic P A's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Smith Clinic P A was last updated on February 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.