Individual provider Active NPI

Michael A Smith, PA

  • Surgical Physician Assistant
  • Allentown, PA
National Provider Identifier
1215970025
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA051316 Issued in PA
Practice address
1250 S Cedar Crest Blvd
Ste 310
Allentown, PA 18103-6224
Phone
(610) 402-6890
Fax
(610) 402-6892
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA051316 PA Primary

Addresses

Primary practice location

1250 S Cedar Crest Blvd
Ste 310
Allentown, PA 18103-6224

Mailing address

855 Belanger St
Ste 101
Houma, LA 70360-4463
Phone (610) 428-7151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060504000204 PA Practitioner - Physician Assistant 2668482662 Reassigns benefits to 2 organizations
I20190711003290 LA Practitioner - Physician Assistant 2668482662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paeon Health Services IncGroup PAC ID 1153697727, 55 clinicians

Practice addresses (Care Compare)

8166 Main St
Houma, LA 70360-3404
Phone (985) 873-4751

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA051316PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Sep 15, 2014 Accepting new patients
Terrebonne Parish Hospital Service District #1 Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 15, 2014 Accepting new patients
St Luke's Physician Group Inc CurrentSince Oct 1, 2007 Accepting new patients
St. Luke's Physician Group, Inc CurrentSince Oct 1, 2007 Accepting new patients
St. Luke's Hospital Past Accepting new patients

Locations

855 Belanger St
Ste 101
Houma, LA 70360
Phone (985) 850-6222

8166 Main St
Houma, LA 70360
Phone (800) 456-9121

1250 S Cedar Crest Blvd
Ste 310
Allentown, PA 18103
Phone (610) 402-6890

2830 Easton Ave
Bethlehem, PA 18017
Phone (484) 526-3555

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

701 Ostrum St
Ste 201
Fountain Hill, PA 18015
Phone (610) 868-1014

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

Interoperability endpoints

  • Direct secure messaging: msmith783673@direct.ochsner.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1215970025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 BELANGER ST",
            "address_2": "STE 101",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604463",
            "telephone_number": "610-428-7151",
            "fax_number": "985-850-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S CEDAR CREST BLVD",
            "address_2": "STE 310",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036224",
            "telephone_number": "610-402-6890",
            "fax_number": "610-402-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA051316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.