Individual provider Active NPI

James H Smith

  • Physician Assistant
  • Henderson, NV
National Provider Identifier
1902448855
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2215 Issued in NV
Practice address
870 Seven Hills Dr Ste 203
Henderson, NV 89052-4379
Phone
(702) 463-4788
NPI assigned
Oct 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2215 NV
Physician Assistant 363A00000X PA2215 NV Primary

Addresses

Primary practice location

870 Seven Hills Dr Ste 203
Henderson, NV 89052-4379

Mailing address

870 Seven Hills Dr Ste 203
Henderson, NV 89052-4379
Phone (702) 463-4788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20200123002068 NV Practitioner - Physician Assistant 4981039799 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vincent D Ho Psychiatry PLLCGroup PAC ID 2062642085, 7 clinicians

Practice addresses (Care Compare)

870 Seven Hills Dr
Suite 203
Henderson, NV 89052-4379
Phone (702) 374-4322

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2215NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Raquel Martinez CurrentSince Sep 23, 2024 Accepting new patients

Locations

870 Seven Hills Dr
Ste 203
Henderson, NV 89052
Phone (702) 374-4322

Organizations & group practices 4

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": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1902448855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 SEVEN HILLS DR STE 203",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524379",
            "telephone_number": "702-463-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 SEVEN HILLS DR STE 203",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524379",
            "telephone_number": "702-463-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-11",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA2215",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.