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Deactivated NPI 1225024516 Deactivated / Inactive NPI Male Practitioner

Dr. Jerry A Smith , DO

Surgery • Wheat Ridge, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerry Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 22, 2005
NPI Deactivation Date February 01, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Smith, DO was a registered Surgery practicing in Wheat Ridge, CO. Throughout an active medical career spanning 18 years, Dr. Smith provided care at the practice location at 3455 LUTHERAN PKWY until profile deactivation on 2023-02-01.

Practice Location & Contact Primary Location

Practice Address

3455 Lutheran Pkwy
Suite 290

Wheat Ridge, CO 800336028

Telephone 3034671400
Fax 3034671467
Associated Practice Facility / Clinic
🏢 C. Keith Fujisaki Md, Pc Facility NPI 1093780918

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Wheat Ridge, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.2 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
21 Specialists

Practicing in Wheat Ridge, CO (635 Statewide)

Telehealth Adoption Rate
4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CO DR.0051728

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Ashley Bender , PA-C

Physician Assistant

NPI 1013283621

Physician Assistant (Certified)

NPI 1225072010

Doctor of Medicine (M.D.)

NPI 1336175751

Doctor of Medicine (M.D.)

NPI 1336177526

Doctor of Medicine (M.D.)

NPI 1598793200

Doctor of Medicine (M.D.)

Dr. Franco Rea , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1619980703

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated February 01, 2023

Record deactivated on February 01, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2022

Surgery (License #200101693 in MO)

NPI Profile Active February 03, 2015

NPI status registered as active in NPPES database

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Updated Practice Location February 03, 2015

Registered at 3455 LUTHERAN PKWY, SUITE 290, WHEAT RIDGE, CO 800336028 (Tel: 3034671400)

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Updated Business Mailing Address February 03, 2015

Registered at 3455 LUTHERAN PKWY, SUITE 290, WHEAT RIDGE, CO 800336028 (Tel: 3034671400)

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Provider Name / Credentials Updated February 03, 2015

Recorded as JERRY SMITH, DO

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2015

Surgery (License #DR.0051728 in CO)

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Initial NPI Registration & Enumeration September 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225024516
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2005
Last Update: February 03, 2015
Deactivation Date: February 01, 2023

Mailing Address

3455 Lutheran Pkwy, Suite 290

Wheat Ridge, CO 800336028

Phone: 3034671400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.