Karen A Smith, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085-002981 Issued in IL

Practice address

8110 S Cass Ave
Darien, IL 60561-5013

Phone

(630) 920-1900

Fax

(630) 920-1901

NPI assigned

Oct 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Karen A Larsen Former name

Medicare fee-for-service enrollment

Enrolled in IL

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 and National Provider Directory roles.

• University Dermatology and Vein Clinic LLC

  • Dermatology Physician
  • Darien, IL
  • NPI 1194270637
  Medicare reassignment
• Rockford Psychiatric Medical Services, S.C.

  • Psychiatry Physician
  • Rockford, IL
  • NPI 1821391442
  NPD (past)
• Rush University Medical Center

  • Gastroenterology Physician
  • Chicago, IL
  • NPI 1073555769
  NPD (past)
• Rush University Medical Center

  • Dermatology Physician
  • Westmont, IL
  • NPI 1396755096
  NPD (past)

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1922287614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 S CASS AVE",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615013",
            "telephone_number": "630-920-1900",
            "fax_number": "630-920-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 S CASS AVE",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615013",
            "telephone_number": "630-920-1900",
            "fax_number": "630-920-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAREN",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-002981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "LARSEN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Niket S Sheth, DDS
• Shamkant P Sheth, DDS
• Teresa Lynnell Shiley, RN
• Padamjit Kaur Singh, M.D.
• Brianna Monique Smith
• SMS Career Counseling & Psychotherapy, P.C.
• Ashley Leigh Snyder
• Social Butterfly, Inc.
• Sonal K. Gandhi D.D.S. P.C.
• Ruth Amor Songco-CHI, DPM

• Physician Assistant in Darien, IL
• Providers in Darien, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.