Carly Smith, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA053361 Issued in PA

Practice address

6TH Ave and Spruce Street
West Reading, PA 19611-1412

Phone

(610) 568-3637

Fax

(610) 988-5252

NPI assigned

Oct 28, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pottstown Hospital, LLC

  • Hematology & Oncology Physician
  • Pottstown, PA
  • NPI 1093225369
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1093968638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6TH AVE AND SPRUCE STREET",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111412",
            "telephone_number": "610-568-3637",
            "fax_number": "610-988-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6TH AVE AND SPRUCE STREET",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111412",
            "telephone_number": "610-568-3637",
            "fax_number": "610-988-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Eve Siwek, M.D.
• Catherine S Slade
• Eric Michael Slotkin, DO
• Alexander Keith Smaniotto, DO
• Anastasia Smirnoff
• Devon Smith
• Eric Smith, DO
• Michelle A Smith, P.A.
• Rachel Smith, PT, DPT
• Ronald Eugene Smith, MD

• Physician Assistant in West Reading, PA
• Providers in West Reading, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.