Lester Dean Smith, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA080 Issued in KY

Practice address

3707 Chamberlain LN Ste 101
Louisville, KY 40241-2091

Phone

(502) 426-9200

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1194820035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 CHAMBERLAIN LN STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412091",
            "telephone_number": "502-426-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 CHAMBERLAIN LN STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412091",
            "telephone_number": "502-426-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LESTER",
        "middle_name": "DEAN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95006227",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM FACETS PIN",
            "identifier": "000000499232",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Robin Smith, LCSW
• Lee Ann Smith
• Leonard Devon Smith, RBT
• Leslie Fegenbush Smith, D.O.
• Leslie Y Smith, M.D.
• Linda Smith
• Lindsey Smith
• Lindsey M Smith
• Lonna Dione Smith, MAMFT
• Lora Jeanette Smith, LMT

• Physician Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.