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Deactivated NPI 1366550469 Deactivated / Inactive NPI Male Practitioner

Dr. Douglas O. Smith , MD

Internal Medicine • Gooding, ID

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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. Douglas Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 28, 2006
NPI Deactivation Date February 24, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Smith, MD was a registered Internal Medicine practicing in Gooding, ID. Throughout an active medical career spanning 14 years, Dr. Smith provided care at the practice location at 605 11TH AVE E until profile deactivation on 2020-02-24.

Practice Location & Contact Primary Location

Practice Address

605 11th Ave E

Gooding, ID 833305368

Telephone 2089348461
Fax 2089345437
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Gooding, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Gooding, ID (472 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

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License ID M2861

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

17 Associated Practitioners
Gamile Yow , CADC, BA

Counselor - Addiction (Substance Use Disorder)

NPI 1073748851

Certified Alcohol and Drug Counselor, Bachelor of Arts

Aime Muntz , LMSW

Social Worker - Clinical

NPI 1144141243

Licensed Master Social Worker

Doyle Drury , CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1225384514

Certified Alcohol and Drug Counselor

Shawnee Legarreta , RN

Substance Abuse Rehabilitation Facility

NPI 1235533217

Registered Nurse

Carmalin Resz

Counselor - Addiction (Substance Use Disorder)

NPI 1306002498
Bridget Hurd , CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1356637458

Certified Alcohol and Drug Counselor

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 24, 2020

Record deactivated on February 24, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 605 11TH AVE E, GOODING, ID 833305368 (Tel: 2089348461)

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Updated Business Mailing Address July 08, 2007

Registered at 605 11TH AVE E, GOODING, ID 833305368 (Tel: 2089348461)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DOUGLAS SMITH, M.D.

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

Internal Medicine (License #M2861 in ID)

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Initial NPI Registration & Enumeration August 28, 2006

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: 1366550469
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2006
Last Update: July 08, 2007
Deactivation Date: February 24, 2020

Mailing Address

605 11th Ave E

Gooding, ID 833305368

Phone: 2089348461

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.