Scott Hal Smith, P.A.-C
Individual provider Active NPI Physician Assistant · Wailuku, HI
NPI 1295989408 · NPPES record last updated Jan 15, 2024
Key facts
- NPI
- 1295989408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- AMD-331 (HI)
- Practice address
- 84 N Church St Ste 206
Wailuku, HI 96793 - Phone
- (808) 281-7477
- Fax
- (808) 646-7383
- NPI assigned
- Nov 14, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Aloha Primary Care Physicians and Associates
Practice addresses (Care Compare)
24 N Church St
Suite 206
Wailuku, HI 96793-1606
Phone (808) 281-7477
Hospital & facility affiliations
- Maui Memorial Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090825000125 | HI | Practitioner - Physician Assistant | 3476615535 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Interoperability endpoints
- scott.smith@20467783892996.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AMD-331 | HI | Yes |
| Physician Assistant | 363A00000X | 4221 | AZ |
Addresses
Primary practice location
84 N Church St Ste 206
Wailuku, HI 96793
Mailing address
711 Kapiolani Blvd Ste 500
Honolulu, HI 96813-5255
Phone (808) 941-3363
Other practice location 1
40 Kupaoa St Unit B-101
Makawao, HI 96768-6215
Phone (808) 281-7477
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AMD-331 | Other | HI | LIC |
| 631826 | Other | HI | HMA |
| 285536 | Other | HI | HMSA |
Other providers in Wailuku, HI
- Valerie Lane Simonsen
- Casandra Connie Simonson
- Toakase Fatongia Siua
- Channing Scott Slate
- Stephen Sleight
- Clifford D Snyder
- Summer Westby Solt
- Paula Diana/Dianne Somerville
- Greg Young Song
- John Songco
All providers in Wailuku, HI · Physician Assistant in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.