Individual provider Active NPI

Deborah A Smith, P.A.

  • Physician Assistant
  • Pelham, NH
National Provider Identifier
1912062118
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
262 Issued in NH
Practice address
33 Windham Rd
Pelham, NH 03076-2372
Phone
(603) 577-2273
Fax
(603) 577-5191
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 262 NH Primary

Addresses

Primary practice location

33 Windham Rd
Pelham, NH 03076-2372

Mailing address

33 Windham Rd
Pelham, NH 03076-2372
Phone (603) 577-2273

Other identifiers 1

IdentifierTypeStateIssuer
30335240MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20070911000709 NH Practitioner - Physician Assistant 2961595624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

Practice addresses (Care Compare)

10 Jones Rd
Milford, NH 03055-3100
Phone (603) 672-7600

33 Windham Rd
Immediate Care of Southern New Hampshire Pe
Pelham, NH 03076-2372
Phone (603) 577-2273

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0135NHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical Partners Inc. CurrentSince Sep 1, 2012 Accepting new patients
Foundation Medical Partners Inc CurrentSince Sep 1, 2012 Accepting new patients
Southern New Hampshire Medical Center CurrentSince Mar 17, 1998 Accepting new patients
Granite State Emergency Physicians PC Past Accepting new patients

Locations

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

33 Windham Rd
Pelham, NH 03076
Phone (603) 577-2273

Interoperability endpoints

  • FHIR API: https://epicproxyprd.solutionhealth.org/FHIR_PRD/MYCHART/api/FHIR/R4
  • Direct secure messaging: dsmith20403@direct.solutionhealth.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1912062118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WINDHAM RD",
            "city": "PELHAM",
            "state": "NH",
            "postal_code": "030762372",
            "telephone_number": "603-577-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WINDHAM RD",
            "city": "PELHAM",
            "state": "NH",
            "postal_code": "030762372",
            "telephone_number": "603-577-2273",
            "fax_number": "603-577-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30335240",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, NH

Sources for this page

Verify at the official NPI Registry.