Haley M Smith
Individual provider Active NPI Physician Assistant · Cloverdale, IN
NPI 1619787389 · NPPES record last updated Jan 13, 2025
Key facts
- NPI
- 1619787389
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 3184 E County Road 1200 S
Cloverdale, IN 46120-8541 - Phone
- (765) 721-3365
- NPI assigned
- Jan 13, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
3184 E County Road 1200 S
Cloverdale, IN 46120-8541
Mailing address
3184 E County Road 1200 S
Cloverdale, IN 46120-8541
Phone (765) 721-3365
Other providers in Cloverdale, IN
- Putnam County Hospital
- Angela Raisor
- Kristen Brandt Rogers
- Kennedy Ryan
- Srinivasan K. Sankaran
- Whitney Anne Smith
- Alexis Stout
- Kalen Elyse Sundeen
- Michelle R Thomas
- Judy K Thrasher
All providers in Cloverdale, IN · Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.