MS. SAMANTHA PAIGE SMITH PA-C ATC NPI 1295184703

NPI Information

NPI: 1295184703
Provider Name: MS. SAMANTHA PAIGE SMITH, PA-C, ATC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
600 E 36TH AVE STE 300
ANCHORAGE, AK
ZIP 99503
Phone: (907) 562-3060
Get Directions

MS. Samantha Paige Smith, PA-C, ATC is a surgical physician assistant in Anchorage, AK with 5 years of experience. MS. Samantha Paige Smith, PA-C, ATC NPI is 1295184703. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 E 36TH AVE STE 300
ANCHORAGE, AK
ZIP 99503-168
Phone: (907) 562-3060
Fax: (075) 623-0619

The NPI 1295184703 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 6/6/2016 and was last updated on 7/14/2021.

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	2255A2300X	Specialist/Technologist	Athletic Trainer	A0000793	MARYLAND	No
2	2255A2300X	Specialist/Technologist	Athletic Trainer	149324	ALASKA	No
3	363AS0400X	Physician Assistant	Surgical	155981	ALASKA	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	Other Provider Identifier Issuer
1	1295184703	MEDICAID	MARYLAND

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: 11/14/2023

NPI Synchronization or Removal

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