ELLEN ANDERSON SMITH P.A.
NPI 1083731772
Physician Assistant - Surgical in Broomfield, CO

Active since March 26, 2007
14093 ROARING FORK CIR, BROOMFIELD, CO 80020(303) 465-0876 Get Directions Write a Review

NPPES record last updated: January 8, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ellen Anderson Smith P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN ANDERSON SMITH P.A. (NPI 1083731772) is an individual surgical provider in Broomfield, Colorado, licensed in Colorado (378) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1083731772
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameELLEN ANDERSON SMITHCredential: P.A.
Location Address14093 ROARING FORK CIRBroomfield, CO 80020-3924
Mailing Address14093 Roaring Fork CirBroomfield, CO 80020-3924 · (303) 465-0876
Sole ProprietorYes
Enumeration DateMarch 26, 2007
Last NPPES UpdateJanuary 8, 2008
NPI 1083731772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CO · 378
14093 ROARING FORK CIR, Broomfield, CO 80020

Other Identifiers 1

Medicare PINCL8148CO

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Smith's NPI number?

The NPI number for Ellen Smith is 1083731772. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Ellen Smith located?

Ellen Smith practices at 14093 Roaring Fork Cir, Broomfield, CO 80020. The listed phone number is (303) 465-0876.

What is Ellen Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Ellen Smith was last updated on January 8, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.