MEDICARE: DR. ANDREW GERALD SMITH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	173000000X	Legal Medicine	TL3586	ID
2	208000000X	Pediatrics Physician	5412561-1205	UT
3	2080P0203X	Pediatric Critical Care Medicine Physician	5412561-1205	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033111810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW GERALD SMITH M.D.

Provider Business Mailing Address
First Line	:	PO BOX 413021
Second Line	:	DEPARTMENT OF PEDIATRICS - INPATIENT MEDICINE
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84141-3021
Country	:	US
Telephone Number	:	801-213-3900
Fax Number	:	801-585-3655

Provider Business Practice Location Address
First Line	:	100 MARIO CAPECCHI DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84113-1103
Country	:	US
Telephone Number	:	801-662-3673
Fax Number	:	801-662-3664

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	12/12/2024

Similar Medicare Providers

1811844228 — SAMANTHA PAYNE NP
Practice Location Address:

100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT
84113-1103

Practice Phone: 336-406-5180
Practice Fax:

1609203660 — ANDREW H AVERY PA-C
Practice Location Address:

100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT
84113-1103

Practice Phone: 801-662-1000
Practice Fax:

1598763112 — DR. MICHAEL WAYNE BOYER MD
Practice Location Address:

100 N MEDICAL DR , BMT
SALT LAKE CITY, UT
84113-1103

Practice Phone: 801-585-3229
Practice Fax: 801-585-3432

1184622565 — DR. MITZI M ROSEL DDS
Practice Location Address:

100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT
84113-1103

Practice Phone: 801-662-3900
Practice Fax:

1497753354 — MICHAEL BRIAN LLOYD M.D.
Practice Location Address:

100 N MEDICAL DR
SALT LAKE CITY, UT
84113-1103

Practice Phone: 801-587-7575
Practice Fax: 801-285-1704

1225012610 — DR. JEREMY MEIER MD
Practice Location Address:

100 MARIO CAPECCHI DR
SALT LAKE CITY, UT
84113-1103

Practice Phone: 801-662-1740
Practice Fax:

Directions to “ DR. ANDREW GERALD SMITH M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.