Phillip T Smith, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.003797RX Issued in OH

Practice address

1 N Brookwood Ave
Hamilton, OH 45013

Phone

(513) 805-4499

Fax

(513) 805-4499

NPI assigned

Dec 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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.

• Mercy Health Urgent Care LLC

  • Family Medicine Physician
  • Milford, OH
  • NPI 1588390942
  NPD (past)
• Monroe Family Medicine

  • Family Medicine Physician
  • Monroe, OH
  • NPI 1467119891
  NPD (past)
• Joel T Callahan Thomas H Greer Jr & a Gary Boone PTR

  • Internal Medicine Physician
  • Meridian, MS
  • NPI 1932248853
  NPD (past)

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1306823802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N BROOKWOOD AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "45013",
            "telephone_number": "513-805-4499",
            "fax_number": "513-805-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N BROOKWOOD AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "45013",
            "telephone_number": "513-805-4499",
            "fax_number": "513-805-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PHILLIP",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003797RX",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0090172",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Pat Smith
• Matthew Smith
• Mendi Smith, CSA
• Nicholas Smith
• Patricia R Smith, LISW-S
• Sierra Juliett Smith
• Terry Smith
• Debra L Smithson, LMT
• Briana Le'Shea Smoot
• Brianna Smyth

• Physician Assistant in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.