Emillie Partridge Smith, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2621 Dryden Rd Ste 100
Moraine, OH 45439-1646

Phone

(937) 281-0900

NPI assigned

Oct 18, 2024

Sex

Female

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

Enrolled in OH

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

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.

• Dayton Behavioral Care, LLC

  • Psychiatry Physician
  • Dayton, OH
  • NPI 1538396270
  Medicare reassignment

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1689495038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 DRYDEN RD STE 100",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391646",
            "telephone_number": "937-479-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 DRYDEN RD STE 100",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391646",
            "telephone_number": "937-281-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTRIDGE SMITH",
        "first_name": "EMILLIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Hallie Palmer
• Bonnie R Parish, LISW-W/BCD
• Madisen Parker
• Ashley Marie Parrish-Lundeen
• Sean Parrott
• Valerie Peidous
• Cortney Peltz
• Michael Shaun Perciful
• Kathleen J Peroutka
• Molly Peters

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.