Provider Demographics
NPI:1215935150
Name:SMIT, BARBARA A (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:A
Last Name:SMIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:PROF
Other - First Name:BARBARA
Other - Middle Name:A
Other - Last Name:SMIT-SPINKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:427 S BERNARD ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2509
Mailing Address - Country:US
Mailing Address - Phone:509-456-0107
Mailing Address - Fax:509-747-2635
Practice Address - Street 1:427 S BERNARD ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2509
Practice Address - Country:US
Practice Address - Phone:509-456-0107
Practice Address - Fax:509-747-2635
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00037231207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA20457OtherGROUP HEALTH
WAA033OtherTRICARE
WA1107267Medicaid
WAWA0690OtherNORTHWEST BENEFIT NETWORK
ID000010147400OtherASURIS(REGENCE BS OF ID)
WA0183068OtherLABOR AND INDUSTRIES
WA9490SMOtherASURIS(REGENCE NW HEALTH)
WAP00099580OtherRAILROAD MEDICARE
IDKW914OtherBLUE CROSS OF ID
WAWA0690OtherNORTHWEST BENEFIT NETWORK
ID000010147400OtherASURIS(REGENCE BS OF ID)