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Deactivated NPI 1972709319 Deactivated / Inactive NPI Male Practitioner

Dr. Thales H Smith , MD

Pediatrics • Provo, UT

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

Registration / Start Date June 22, 2007
NPI Deactivation Date November 13, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Thales Smith, MD was a registered Pediatrics practicing in Provo, UT. Throughout an active medical career spanning 11 years, Dr. Smith provided care at the practice location at 1355 NORTH UNIVERSITY AVE until profile deactivation on 2018-11-13.

Practice Location & Contact Primary Location

Practice Address

1355 North University Ave

Provo, UT 84604

Telephone 8013738930
Fax 8013776811
Associated Practice Facility / Clinic
🏢 Utah Valley Pediatrics L.l.c. Facility NPI 1497812721

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
24 Specialists

Practicing in Provo, UT (688 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License UT 54-14958-1205

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.

Practice Associates & Co-Workers

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

15 Associated Practitioners
Michael Gibson , NP

Nurse Practitioner - Pediatrics

NPI 1013122548

Nurse Practitioner

NPI 1114992856

Doctor of Medicine (M.D.)

NPI 1124086186

Doctor of Medicine (M.D.)

NPI 1124319314

Doctor of Medicine (M.D.)

Viki Bailey , FNP-C

Nurse Practitioner

NPI 1184124703

Family Nurse Practitioner (Certified)

NPI 1275591471

Doctor of Medicine (M.D.)

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 November 13, 2018

Record deactivated on November 13, 2018

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 1355 NORTH UNIVERSITY AVE, PROVO, UT 84604 (Tel: 8013738930)

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Updated Business Mailing Address July 08, 2007

Registered at 3186 NORTH SHADOWBROOK CIRCLE, PROVO, UT 84604 (Tel: 8013738368)

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Provider Name / Credentials Updated July 08, 2007

Recorded as THALES SMITH, M.D.

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

Pediatrics (License #54-14958-1205 in UT)

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Initial NPI Registration & Enumeration June 22, 2007

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: 1972709319
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2007
Last Update: July 08, 2007
Deactivation Date: November 13, 2018

Mailing Address

3186 North Shadowbrook Circle

Provo, UT 84604

Phone: 8013738368

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.