Individual provider Active NPI

Eric S Smith, P.A.

  • Medical Physician Assistant
  • Largo, FL
National Provider Identifier
1639121387
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9101685 Issued in FL
Practice address
10225 Ulmerton Rd
1A
Largo, FL 33771-3538
Phone
(727) 585-7408
Fax
(727) 585-3483
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9101685 FL Primary

Addresses

Primary practice location

10225 Ulmerton Rd
1A
Largo, FL 33771-3538

Mailing address

10225 Ulmerton Rd
Suite 1B
Largo, FL 33771-3538
Phone (727) 581-4849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100908000447 FL Practitioner - Physician Assistant 5092839472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osteopathic Heritage, P.a.Group PAC ID 6406907278, 13 clinicians

Practice addresses (Care Compare)

118 Seven Hills Dr
Osteopathic Heritage Corporation
Spring Hill, FL 34609-0235
Phone (352) 666-6950

959 W Jefferson St
Brooksville, FL 34601-2427
Phone (352) 799-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9101685FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Osteopathic Heritage, P.a. CurrentSince Mar 27, 2023 Accepting new patients

Locations

959 W Jefferson St
Brooksville, FL 34601
Phone (352) 666-6950

118 Seven Hills Dr
Spring Hill, FL 34609
Phone (352) 666-6950

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1639121387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 ULMERTON RD",
            "address_2": "SUITE 1B",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713538",
            "telephone_number": "727-581-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 ULMERTON RD",
            "address_2": "1A",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713538",
            "telephone_number": "727-585-7408",
            "fax_number": "727-585-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIC",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.