Provider Demographics
NPI:1588612469
Name:SMITH, JANET E (MD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:E
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1700 S MINNESOTA AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-1723
Mailing Address - Country:US
Mailing Address - Phone:605-331-4493
Mailing Address - Fax:605-331-0038
Practice Address - Street 1:1700 S MINNESOTA AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1723
Practice Address - Country:US
Practice Address - Phone:605-331-4493
Practice Address - Fax:605-331-0038
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD3576208800000X
IA23067208800000X
NV13528208800000X
CAC54864208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025195700Medicaid
SD22849OtherSIOUX VALLEY HEALTH PLAN
SD4334139OtherAETNA
MN709085400Medicaid
SD7K939NOOtherCENTRAL STATES
MN7K940SMOtherMN BLUE CROSS
SD7301282Medicaid
SD897391019341OtherPREFERRED ONE
SD460438016OtherCHAMPUS
SD460438016000EOtherUNITED HEALTH CARE
MN122089OtherUCARE
SD0040053OtherBLUE CROSS
IA0989319Medicaid
SD460438016OtherDAKOTACARE
SD460438016OtherDAKOTACARE
SD460438016000EOtherUNITED HEALTH CARE
S40053Medicare ID - Type UnspecifiedMEDICARE FOR DR SMITH