OrganizationActive
Smith Clinic P a
NPI 1891993713 · Family Medicine Physician · Ammon, ID
Provider details
- NPI number
- 1891993713
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Oliver Smith, Owner(208) 521-5936
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3669 Ellendale Cir
Ammon, ID 83406-4749
Phone: (208) 521-5936
Fax: (208) 524-5608
Street-level locationGet directions
Mailing address
3669 Ellendale Circle
Idaho Falls, ID 83406
Registry dates
- Enumerated
- 2007-07-03
- Last updated
- 2008-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.