SHARON LEE SMITH PA-C NPI 1508986563

NPI Information

  • NPI: 1508986563
  • Provider Name: SHARON LEE SMITH, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 130 DIVISION ST
    DERBY, CT
    ZIP 06418
  • Phone: (203) 732-1330

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NPI Details

Sharon Lee Smith, PA-C is a surgical physician assistant in Derby, CT. Sharon Lee Smith, PA-C NPI is 1508986563. 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:

130 DIVISION ST
DERBY, CT
ZIP 06418-326
Phone: (203) 732-1330
Fax: (203) 732-1332

The NPI 1508986563 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 3/30/2007 and was last updated on 9/23/2022.

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
1363A00000XPhysician Assistant000429CONNECTICUTNo
2363AS0400XPhysician AssistantSurgical000429CONNECTICUTYes

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: 11/21/2025

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