Active NPI
Smith Physician Assistants, PLLC
- Physician Assistant
- Watertown, NY
National Provider Identifier
1689849275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0057341
- Legal business name
- SMITH PHYSICIAN ASSISTANTS, PLLC
- Practice address
- 727 Washington St
Watertown, NY 13601-4031 - Phone
- (315) 785-7009
- Fax
- (315) 785-7566
- NPI assigned
- Apr 24, 2008
- Last updated
- Apr 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Milagros Smith, RPA-C
- Title
- Rpa-C
- Phone
- (315) 785-7009
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0057341 | NY | Primary |
Addresses
Primary practice location
727 Washington St
Watertown, NY 13601-4031
Mailing address
445 Factory St
PO Box 91
Watertown, NY 13601-2729
Phone (315) 782-4207
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Medical Physician Assistant
- Watertown, NY
- NPI 1154327161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208995200000",
"number": "1689849275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 FACTORY ST",
"address_2": "PO BOX 91",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136012729",
"telephone_number": "315-782-4207",
"fax_number": "315-782-8699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 WASHINGTON ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136014031",
"telephone_number": "315-785-7009",
"fax_number": "315-785-7566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMITH PHYSICIAN ASSISTANTS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-24",
"last_updated": "2008-04-24",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MILAGROS",
"authorized_official_title_or_position": "RPA-C",
"authorized_official_telephone_number": "315-785-7009",
"authorized_official_credential": "RPA-C"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "0057341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.