DR. IAN A SMITH MD NPI 1588770655

NPI Information

NPI: 1588770655
Provider Name: DR. IAN A SMITH, MD
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Organization: ST CHARLES HEALTH SYSTEM INC

PECOS Registration: Yes

Address:
2500 NE NEFF RD
BEND, OR
ZIP 97701
Phone: (541) 706-7715
Get Directions

DR. Ian A Smith, MD is a critical care medicine internal medicine in Bend, OR with 25 years of experience. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Ian A Smith, MD NPI is 1588770655. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JENNER MEDICAL COLLEGE
Graduation Year:1999

The provider's business location address is:

2500 NE NEFF RD
BEND, OR
ZIP 97701-015
Phone: (541) 706-7715
Fax: (541) 706-7742

The NPI 1588770655 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 11/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	MD00042448	WASHINGTON	No
2	207RI0200X	Internal Medicine	Infectious Disease	MD00042448	WASHINGTON	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	MD00042448	WASHINGTON	No
4	207RC0200X	Internal Medicine	Critical Care Medicine	MD205339	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3529SM	OTHER	WASHINGTON	BLUE SHIELD
2	0039581	OTHER	WASHINGTON	L&I
3	P00341222	OTHER	WASHINGTON	RAILROAD MEDICARE
4	8411282	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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