Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Smith, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1720502859

Derek Smith, PHYSICIANASSISTANT is a Physician Assistant in Ogden, Utah. Qualified in 2017, 9 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017

Practice location Address checks out

4403 Harrison Blvd
Ogden, UT 84403-3271
Phone: (801) 387-2750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1720502859
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 31, 2017
Last updated in NPPESAugust 1, 2017
Mailing address1059 E 2925 N, Ogden, UT 84414-1772

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Ogden