DR. DANIEL PHILIP WISER SMITH D.O. NPI 1235454901

NPI Information

NPI: 1235454901
Provider Name: DR. DANIEL PHILIP WISER SMITH, D.O.
Classification: Anesthesiology - 207LP2900X
Specialization: Pain Medicine
Entity Type: Individual
PECOS Registration: Yes
Address: 3385 POTOMAC WAY
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 522-7246

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NPI Details

DR. Daniel Philip Wiser Smith, D.O. is a pain medicine anesthesiology in Idaho Falls, ID with 16 years of experience. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. DR. Daniel Philip Wiser Smith, D.O. NPI is 1235454901. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:2010

The provider's business location address is:

3385 POTOMAC WAY
IDAHO FALLS, ID
ZIP 83404-978
Phone: (208) 522-7246

The NPI 1235454901 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 4/6/2010 and was last updated on 3/19/2024.

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	207L00000X	Anesthesiology		O-0782	IDAHO	No
2	207LP2900X	Anesthesiology	Pain Medicine	OP60530576	WASHINGTON	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No
4	207LP2900X	Anesthesiology	Pain Medicine	O-0782	IDAHO	Yes

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: 11/21/2025

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