Active NPIIndividual provider

Emily K Smith, PA

Physician Assistant in Gardner, Massachusetts

NPI Number1003232612
Practice location
59 Eastwood Cir, Gardner, MA 01440-3901
Fax
702-977-1496
Last updated
October 3, 2025

Emily Kathryn Diconza Smith is a Physician Assistant based in Gardner, MA. Emily Kathryn Diconza Smith practices in Gardner, MA and has the professional credentials of PA. The NPI Number for Emily Kathryn Diconza Smith is 1003232612 and holds a License No. 1552 (NH). The current practice location address for Emily Kathryn Diconza Smith is 59 Eastwood Cir, Gardner, MA 01440-3901 and can be reached out via phone at 872-231-3162 and via fax at 702-977-1496.

Provider Profile Details

NPI Number
1003232612
Provider Name
Emily Kathryn Diconza Smith
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
59 Eastwood Cir, Gardner, MA 01440-3901
Phone Number
872-231-3162
Fax Number
702-977-1496
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
March 7, 2014
Last Update Date
October 3, 2025
Certification Date
October 3, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
59 Eastwood Cir
Gardner, MA 01440-3901
Zip
01440-3901
Phone Number
872-231-3162
Fax Number
702-977-1496
Gardner, MA 01440Get directions →

Provider Business Mailing Address Details

Address
Po Box 74008272
Chicago, IL 60674-8272
City
Chicago
State
IL
Zip
60674-8272
Phone Number
702-899-0595
Fax Number
702-977-1496

License Information

License Number (1)
1552
License State (1)
NH
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
PA4953
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Emily K Smith, PA?

The NPI number of Emily K Smith, PA is 1003232612. It was assigned on March 7, 2014 and is currently active in the NPPES registry.

What is the specialty of Emily K Smith, PA?

Emily K Smith, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NH under license number 1552.

Where does Emily K Smith, PA practice?

The practice location is 59 Eastwood Cir, Gardner, MA 01440-3901. The office can be reached at 872-231-3162 (phone) or 702-977-1496 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003232612 directly on the NPPES registry website.

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