Preston S Smith in Nampa - Physician Assistant
Preston S Smith - NPI 1992794929
Preston S Smith is a Physician Assistant in Nampa, Idaho. Preston S Smith practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Preston S Smith is 1992794929. The last update date is 2023-11-01.
Preston S Smith's current location address is 215 E Hawaii Ave, Nampa, Idaho. You can contact this provider via phone number 2084685930 and fax number 2084633044. The mailing address for Preston S Smith is 215 E Hawaii Ave, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Preston S Smith |
|---|---|
| Address | 215 E Hawaii Ave, Nampa, Idaho |
| Phone Number | 2084685930 |
| Fax Number | 2084633044 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1992794929 |
|---|---|
| Provider Enumeration Date | 2005-10-21 |
| Last Updated Date | 2023-11-01 |
Provider Mailing Address Detail
| Address | 215 E Hawaii Ave |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836866011 |
| Phone Number | 2084685930 |
| Fax Number | 2084633044 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA464 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10145450 | ID | BLUE SHIELD | |
| DAGV3 | ID | BLUE CROSS | |
| 10145449 | ID | BLUE SHIELD | |
| 806749400 | ID | -- | |
| PAG001 | ID | BLUE CROSS | |
| P00160006 | ID | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Preston S Smith by the Centers for Medicare & Medicaid Services?
The Preston S Smith has been assigned the NPI (National Provider Identifier) 1992794929. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Preston S Smith's physical address?
The Preston S Smith is physically located at 215 E Hawaii Ave, in the city of Nampa, ID, with the postal code 836866011.
What is the Preston S Smith's specialty and taxonomy code?
The Preston S Smith's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When did Preston S Smith receive its 1992794929 assignment?
The Preston S Smith was assigned its 1992794929 on 2005-10-21, which is the date when this unique identifier was issued to the organization.
When was the information regarding Preston S Smith most recently updated?
The details pertaining to the Preston S Smith, including its address, specialty, and other relevant information, were last refreshed on 2023-11-01.