Jeffrey Smith, CST-FA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

29277 US Highway 19 N
Clearwater, FL 33761-2102

Phone

(770) 378-3050

NPI assigned

Feb 9, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Sunshine Surgical Assist Inc

  • Specialist
  • Clearwater, FL
  • NPI 1568090975
  NPD (past)
• Brazos Sa Services

  • Specialist
  • Houston, TX
  • NPI 1033382668
  NPD (past)

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1558860163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7324 SOUTHWEST FWY STE 1550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742053",
            "telephone_number": "713-779-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29277 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612102",
            "telephone_number": "770-378-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFREY",
        "credential": "CST-FA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Lewis Smith, HIS, BSN, RN, CCRN
• Gregory Scott Smith, D.O.
• James Wilson Smith Jr., LMT
• Jamie Smith, PTA
• Jeff Smith Jr.
• John Edward Smith, LMHC
• Julie Adriene Smith
• Kaylie Marie Smith, PHARM.D
• Kenneth Smith
• Laura O Smith, ARNP

• Surgical Physician Assistant in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.