Active NPI
Zachary Kenneth Earl Smith, PA-S
- Physician Assistant
- Lima, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.007066RX
- Practice address
- 770 W High St Ste 160
Lima, OH 45801-5900 - Phone
- (419) 996-5224
- Fax
- (419) 996-5276
- NPI assigned
- Oct 4, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.007066RX | OH | Primary |
Addresses
Primary practice location
770 W High St Ste 160
Lima, OH 45801-5900
Mailing address
PO Box 639982
Cincinnati, OH 45263-9982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000
2901 N Reynolds Rd
Toledo, OH 43606
Phone (419) 578-7700
Hospital & facility affiliations
- Promedica Toledo Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.007066RX | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Physician Assistant | Current | Accepting new patients |
| Promedica Central Physicians | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
Physician Assistant
-
- Surgery Physician
- Lima, OH
- NPI 1518589803
-
- Physician Assistant
- Adrian, MI
- NPI 1831658483
-
- Physician Assistant
- Wayne, MI
- NPI 1831701671
-
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1962754754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639982",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452639982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 W HIGH ST STE 160",
"city": "LIMA",
"state": "OH",
"postal_code": "458015900",
"telephone_number": "419-996-5224",
"fax_number": "419-996-5276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ZACHARY",
"middle_name": "KENNETH EARL",
"credential": "PA-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-04",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.007066RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.