MR. ANTHONY NELSON SMITH P.A. NPI 1083664981

NPI Information

NPI: 1083664981
Provider Name: MR. ANTHONY NELSON SMITH, P.A.
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
450 WELCH STREET
SILVERTON, OR
ZIP 97381
Phone: (503) 873-8740
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MR. Anthony Nelson Smith, P.A. is a surgical physician assistant in Silverton, OR. MR. Anthony Nelson Smith, P.A. NPI is 1083664981. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

450 WELCH STREET
SILVERTON, OR
ZIP 97381
Phone: (503) 873-8740
Fax: (503) 873-2470

The NPI 1083664981 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 8/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA10005000	WASHINGTON	No
2	363AS0400X	Physician Assistant	Surgical	PA176235	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	8452211	MEDICAID	WASHINGTON
2	Q67315	MEDICARE UPIN	WASHINGTON
3	8859543	MEDICARE PIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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