Laura C Smith, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00905 Issued in OR

Practice address

1813 W Harvard Ave Ste 310
Roseburg, OR 97470-2756

Phone

(541) 672-7546

Fax

(541) 675-8446

NPI assigned

Dec 22, 2005

Sex

Female

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

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.

• Cep America LLC

  • Emergency Medicine Physician
  • Roseburg, OR
  • NPI 1780647719
  NPD (past)
• Cep America LLC

  • Emergency Medicine Physician
  • Edmonds, WA
  • NPI 1447484274
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1366428203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD STE 310",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974705653",
            "telephone_number": "541-672-7546",
            "fax_number": "541-675-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE STE 310",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702756",
            "telephone_number": "541-672-7546",
            "fax_number": "541-675-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAURA",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA00905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR AND INDUSTRIES",
            "identifier": "0245490",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151228",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin Rae Smith, RN
• Jennifer Jade Smith, RPA
• Jeremy Michael Smith
• Kim Annette Smith, LPC
• Kim D Smith
• Lowell F Smith, FNP
• Misty Smith, PHARMD
• Roberta Smith, RN
• Scott Christian Smith, M.D.
• Vickie Laverne Smith, OTR/L

• Medical Physician Assistant in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.