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

Theodore C Smith, CRNA

Individual provider Registered Nurse · NPI 1336506658

Theodore C Smith, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Tooele, Utah. Qualified in 2016, 10 years ago. Practices with Mountain View Anesthesia Lc, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Indiana, Montana and Utah.

Years since qualifying
10
Licensed in
FL, IN, MT, UT
In the registry since
2016
Specialties on file
7
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

2055 N Main St
Tooele, UT 84074-9819
Phone: (801) 698-4825
Show map & directions

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

Additional practice locations (1)

  • 600 East Blvd, Elkhart, IN 46514-2483 — (574) 523-3193

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 7570542-8901 (UT)
Registered Nurse Taxonomy 163W00000X · Licence 28227009A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 7570542-3102 (UT)
Registered Nurse Taxonomy 163W00000X · Licence 9369122 (FL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 7570542-4406 (UT)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 288227009A (IN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 143224 (MT)

Record details

NPI number1336506658
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 16, 2016
Last updated in NPPESMay 17, 2022
Certification dateMay 5, 2022
Mailing address622 W Lafayette St, Stansbury Park, UT 84074-5571

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mountain View Anesthesia Lc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tooele