Stephen Russell Smith, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50 . 002725 Issued in OH

Practice address

2615 E High Street
Springfield Emergency Physicians Inc.
Springfield, OH 45501

Phone

(937) 328-9301

NPI assigned

Mar 6, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1366612343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 E HIGH",
            "address_2": "SPRINGFIELD EMERGENCY PHYSICIANS INC.",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45501",
            "telephone_number": "937-328-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E HIGH STREET",
            "address_2": "SPRINGFIELD EMERGENCY PHYSICIANS INC.",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45501",
            "telephone_number": "937-328-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHEN",
        "middle_name": "RUSSELL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50 .  002725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L Smith, RN
• Robyn L Smith, LPC
• Ronald Smith
• Ronald Morton Smith Jr., M.D.
• Samarrah Smith
• Terry Smith
• Wade G Smith, DO
• Maryellen Snider, RN, MA
• Cynthia Snook, NP-C
• Hannah Snyder

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.