Individual provider · Type 1 NPI
Jonathan Tyler Smith, MD
General Practice Physician · Fallon, NV
NPI number
1255913307
Active
Practice location
4755 Pasture Rd Bldg 299
Fallon, NV 89496-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider | 171000000X | 0101283882 (VA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Physician Primary | 208D00000X | 0101283882 (VA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
5 other providers at this address
- NHC LemooreMilitary/U.S. Coast Guard Pharmacy Fallon, NV NPI 1467864009
- Christopher Scott Waller, IDCPhysician Assistant Fallon, NV NPI 1871850321
- John C. Marinucci, DDSGeneral Practice Dentistry Fallon, NV NPI 1386615748
- Katherine Tope Adeojo, FNPOccupational Health Nurse Practitioner Fallon, NV NPI 1881256238
- Kimberly Susan Borch, DMDDentist Fallon, NV NPI 1477242204
Other general practice physician providers in Fallon
About NPI 1255913307
Jonathan Tyler Smith, MD's National Provider Identifier is 1255913307, issued on Apr 27, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fallon, NV. The record was last updated on Aug 11, 2025.