CAROL ANN SMITH PA C NPI 1659371623

NPI Information

NPI: 1659371623
Provider Name: CAROL ANN SMITH, PA C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
5950 UNIVERSITY AVENUE
STE 221
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 875-9115
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Carol Ann Smith, PA C is a medical physician assistant in West Des Moines, IA with 29 years of experience. Carol Ann Smith, PA C NPI is 1659371623. 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:

5950 UNIVERSITY AVENUE
STE 221
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 875-9115
Fax: (515) 875-9117

The NPI 1659371623 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 7/29/2005 and was last updated on 9/19/2011.

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	363AM0700X	Physician Assistant	Medical	1013	IOWA	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	S72775	MEDICARE UPIN
2	163481	MEDICARE ID-TYPE UNSPECIFIED	IOWA
3	0634816	MEDICAID	IOWA

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: 4/28/2024

NPI Synchronization or Removal

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