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JODY ALLISON BOLTON SMITH M.D. NPI 1306846076


NPI Information

NPI: 1306846076
Provider Name: JODY ALLISON BOLTON SMITH, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1990 CONNECTICUT AVE S
SARTELL, MN
ZIP 56377
Phone: (320) 257-5595
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Jody Allison Bolton Smith, M.D. is a diagnostic radiology radiology in Sartell, MN with 25 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jody Allison Bolton Smith, M.D. NPI is 1306846076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:1999

The provider's business location address is:

1990 CONNECTICUT AVE S
SARTELL, MN
ZIP 56377-554
Phone: (320) 257-5595
Fax: (320) 257-5596

The NPI 1306846076 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Mammography of both breasts (HCPCS:77067)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan head or brain (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • Ct scan chest (HCPCS:71250)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • Ct scan of face (HCPCS:70486)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Bone and/or joint imaging, whole body (HCPCS:78306)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)
  • Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older (HCPCS:36561)
  • Ultrasound of head and neck (HCPCS:76536)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)

The enumeration date for this NPI number is 7/26/2005 and was last updated on 8/11/2011.


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
12085R0202XRadiologyDiagnostic Radiology46527MINNESOTAYes

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
1411772562OTHERMINNESOTATRICARE
2131470C561OTHERMINNESOTAUCARE OF MINNESOTA
3HP44741OTHERMINNESOTAHEALTH PARTNERS
4I0702MEDICARE UPINMINNESOTA
5300003456MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
62141654OTHERMINNESOTAARAZ/ AMERICA'S PPO
7284L1BOOTHERMINNESOTABLUE CROSS BLUE SHIELD
8965251040913OTHERMINNESOTAPREFERRED ONE
916-03053OTHERMINNESOTAMEDICA
10411772562OTHERMINNESOTAGREATWEST HEALTHCARE
11492485100MEDICAIDMINNESOTA

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: 5/5/2024

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