Active NPI
Laura K Smith, PA-C
- Physician Assistant
- Spencer, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1201
- Practice address
- 146 Williams Dr
Spencer, WV 25276-1826 - Phone
- (304) 927-8138
- Fax
- (304) 927-8198
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1201 | WV | Primary |
Addresses
Primary practice location
146 Williams Dr
Spencer, WV 25276-1826
Mailing address
146 Williams Dr
Spencer, WV 25276-1826
Phone (304) 927-8138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810006054 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-4444
7313 Charleston Rd
Walton, WV 25286-9613
Phone (304) 577-6815
Hospital & facility affiliations
- Roane General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Development Co | Current | Accepting new patients | |
| Hospital Development Co | Current | Accepting new patients | |
| Hospital Development Co | Current | Accepting new patients |
Locations
1024 Arnoldsburg Rd
Arnoldsburg, WV 25234
Phone (304) 655-6742
200 Hospital Dr
Spencer, WV 25276
Phone (304) 927-4444
300 Hospital Dr
Spencer, WV 25276
Phone (304) 927-6136
94 School Dr
Walton, WV 25286
Phone (304) 577-6815
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Left Hand, WV
- NPI 1790745677
-
- Rural Health Clinic/Center
- Arnoldsburg, WV
- NPI 1053059881
-
- Emergency Medicine Physician
- Spencer, WV
- NPI 1184721581
-
- Ambulance
- Spencer, WV
- NPI 1710697040
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Spencer, WV
- NPI 1316907322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1104978576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 WILLIAMS DR",
"city": "SPENCER",
"state": "WV",
"postal_code": "252761826",
"telephone_number": "304-927-8138",
"fax_number": "304-927-8198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 WILLIAMS DR",
"city": "SPENCER",
"state": "WV",
"postal_code": "252761826",
"telephone_number": "304-927-8138",
"fax_number": "304-927-8198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LAURA",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "1201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810006054",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spencer, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.