Active NPIIndividual provider

Sharon L Smith, PA-C

Physician Assistant, Surgical in Derby, Connecticut

NPI Number1508986563
Practice location
130 Division St, Derby, CT 06418-1326
Fax
203-732-1332
Last updated
September 23, 2022

Sharon Lee Smith is a Physician Assistant, Surgical based in Derby, CT. Sharon Lee Smith practices in Derby, CT and has the professional credentials of PA-C. The NPI Number for Sharon Lee Smith is 1508986563 and holds a License No. 000429 (CT). The current practice location address for Sharon Lee Smith is 130 Division St, Derby, CT 06418-1326 and can be reached out via phone at 203-732-1330 and via fax at 203-732-1332.

Provider Profile Details

NPI Number
1508986563
Provider Name
Sharon Lee Smith
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
130 Division St, Derby, CT 06418-1326
Phone Number
203-732-1330
Fax Number
203-732-1332
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
March 30, 2007
Last Update Date
September 23, 2022
Certification Date
September 23, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Division St
Derby, CT 06418-1326
City
Derby
Zip
06418-1326
Phone Number
203-732-1330
Fax Number
203-732-1332
Derby, CT 06418Get directions →

Provider Business Mailing Address Details

Address
67 Maple Ave
Derby, CT 06418-1328
City
Derby
State
CT
Zip
06418-1328
Phone Number
203-732-1330
Fax Number
203-732-1332

License Information

License Number (1)
000429
License State (1)
CT
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
000429
License State (2)
CT
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X · Primary

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 Sharon L Smith, PA-C?

The NPI number of Sharon L Smith, PA-C is 1508986563. It was assigned on March 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Sharon L Smith, PA-C?

Sharon L Smith, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 000429.

Where does Sharon L Smith, PA-C practice?

The practice location is 130 Division St, Derby, CT 06418-1326. The office can be reached at 203-732-1330 (phone) or 203-732-1332 (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 1508986563 directly on the NPPES registry website.

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