Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043204746 Individual Practitioner Male Practitioner

Dr. Scott Alan Smith , DO

Pediatrics • Ammon, ID

Professional Overview & Biography Verified Profile Summary

Dr. Scott Smith, DO is a registered healthcare professional specializing in Pediatrics in Ammon, ID. Practice services are available at 3067 EAGLE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3067 Eagle Dr

Ammon, ID 834061273

Telephone 2085224600
Fax 2085527521
Associated Practice Facility / Clinic
🏢 Idaho Falls Pediatrics Facility NPI 1366560971

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Ammon, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Ammon, ID (228 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2020-11-19
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License ID O-257

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
806039800 (ID)
Commercial Insurance / Payer ID Blue Shield
000010032253 (ID)
Commercial Insurance / Payer ID Blue Cross
42283 (ID)

Practice Associates & Co-Workers

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

12 Associated Practitioners
Kamlyn Harker , PA

Physician Assistant

NPI 1104581537

Physician Assistant

Katie Leask , RD, LD, IBCLC

Dietitian, Registered

NPI 1235780990

Registered Dietitian, Licensed Dietitian, International Board Certified Lactation Consultant

Dr. Mitchael Steorts , MD

Pediatrics - Adolescent Medicine

NPI 1255621793

Doctor of Medicine (M.D.)

David Buys , PA-C

Physician Assistant - Medical

NPI 1386743862

Physician Assistant (Certified)

Jacqueline Romrell , NP

Nurse Practitioner - Family

NPI 1447690235

Nurse Practitioner

Darin Leslie , PA-C

Physician Assistant - Medical

NPI 1477608099

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 19, 2020

Registered at 3067 EAGLE DR, AMMON, ID 834061273 (Tel: 2085224600)

📍
Updated Business Mailing Address November 19, 2020

Registered at 3067 EAGLE DR, AMMON, ID 834061273 (Tel: 2085224600)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2375 CORONADO ST, IDAHO FALLS, ID 834047407 (Tel: 2085224600)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2375 CORONADO ST, IDAHO FALLS, ID 834047407 (Tel: 2085224600)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SCOTT SMITH, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #O-257 in ID)

🟢
Initial NPI Registration & Enumeration September 08, 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: 1043204746
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2005
Last Update: November 19, 2020
Sole Proprietor: No

Mailing Address

3067 Eagle Dr

Ammon, ID 834061273

Phone: 2085224600

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.