Gary Valdemar Smith, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

002 Issued in VI

Practice address

9048 Sugar Estate
Roy Lester Schneider Medical Center
St. Thomas, VI 00802

Phone

(340) 776-8311

Fax

(340) 714-6322

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maimonides Medical Center - MMC Emergency Physicians FPP

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1982708202
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972601078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6244",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008046244",
            "telephone_number": "340-774-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9048 SUGAR ESTATE",
            "address_2": "ROY LESTER SCHNEIDER MEDICAL CENTER",
            "city": "ST. THOMAS",
            "state": "VI",
            "postal_code": "00802",
            "telephone_number": "340-776-8311",
            "fax_number": "340-714-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GARY",
        "middle_name": "VALDEMAR",
        "name_prefix": "Dr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VI",
            "license": "002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT",
            "identifier": "239782300000013",
            "state": "VI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karyna Shuliak, D.D.S.
• Silvina Salvo MD PC
• Dionne Simmonds, PH.D., L.C.S.W., CAC
• Daniel John Sims, PT
• Aliya Smith, PT, DPT
• Jerry Richard Smith, PT, DPT, ATC
• Joseph Smolarz, M.D.
• Kelli Hargrave Smolarz, PA-C
• Soliel Transport LLC
• Sound Waves Audiology LLC (Sound Waves Audiology)

• Physician Assistant in St Thomas, VI
• Providers in St Thomas, VI by specialty
• Physician Assistant in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.