Theodore C. Smith, CRNA
NPI 1336506658ActiveIndividual· Nurse Anesthetist, Certified Registered· Tooele, UT
Nurse Anesthetist, Certified Registered (CRNA) with Mountain View Anesthesia Lc, practicing in Tooele, Utah. Medicare paid $9,508 for services to 59 patients in 2024. Lists Mountain View Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1336506658 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Jan 16, 2016 |
| Last updated in NPPES | May 17, 2022 |
| Certified by provider | May 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 7570542-8901 | UT |
| Registered Nurse | 163W00000X | 28227009A | IN |
| Registered Nurse | 163W00000X | 7570542-3102 | UT |
| Registered Nurse | 163W00000X | 9369122 | FL |
| Nurse Anesthetist, Certified Registered | 367500000X | 7570542-4406 | UT |
| Nurse Anesthetist, Certified Registered | 367500000X | 288227009A | IN |
| Nurse Anesthetist, Certified Registered | 367500000X | 143224 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (IN); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (MT); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (NM); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 59 |
|---|---|
| Services billed | 66 across 25 procedure codes |
| Paid by Medicare | $9,508 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Mountain View Anesthesia LcDraper, UT · 31 clinicians
Hospital affiliations
- Mountain View HospitalPayson, UT
- Timpanogos Regional HospitalOrem, UT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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