Julian David Smith, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

809 Issued in AK

Practice address

2800 Providence Dr
Anchorage, AK 99508-4623

Phone

(907) 269-7150

NPI assigned

Jun 16, 2008

Last updated

Jun 16, 2008By the provider in NPPES

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

Enrolled in AK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of Alaska Department of Administration

  dba Alaska Psychiatric Institute

  • Psychiatric Hospital
  • Anchorage, AK
  • NPI 1497842553
  Medicare reassignment
• State of Alaska

  dba Alaska Psychiatric Institute Pharmacy

  • Pharmacy
  • Anchorage, AK
  • NPI 1285778191
  NPD (past)
• State of Alaska

  dba API Physician's Outpatient Mental Health Clinic

  • Psychiatry Physician
  • Anchorage, AK
  • NPI 1811027519
  NPD (past)

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1639339286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 E TUDOR RD # 1117",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 PROVIDENCE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084623",
            "telephone_number": "907-269-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JULIAN",
        "middle_name": "DAVID",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicity Janet Smith, CDM
• Hannah Smith
• Hollyn C Smith, CARE COORDINATOR
• Jack Arlyn Smith, M.D.
• Jennifer Catherine Smith, RN
• Katelyn Nicole Smith
• Kathryn Smith, RN
• Kaytlin Marie Smith
• Kendra J Smith
• Kristen Smith

• Medical Physician Assistant in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Medical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.