DOUGLAS R SMITH PA
NPI 1114023942
Physician Assistant in Princeton, WV

Active since September 16, 2006
122 12TH STREET EXT, PRINCETON, WV 24740(304) 487-7275 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas R Smith Pa NPPES

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

DOUGLAS R SMITH PA (NPI 1114023942) is an individual physician assistant in Princeton, West Virginia, licensed in West Virginia (PENDING) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1114023942
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDOUGLAS R SMITHCredential: PA
Location Address122 12TH STREET EXTPrinceton, WV 24740-2352
Mailing Address1431 Centerpoint Blvd, Suite 100Knoxville, TN 37932-1984
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1114023942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WV · PENDING
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
122 12TH STREET EXT, Princeton, WV 24740

Other Identifiers 3

Medicare UPINPENDING
MedicaidPENDINGWV
Medicare ID-Type UnspecifiedPENDINGWV

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
122 12TH STREET EXT, PRINCETON COMMUNITY HOSPITAL
PRINCETON, WV 24740
Pathology (Anatomic Pathology & Clinical Pathology)
122 12TH STREET EXT
PRINCETON, WV 24740
Psychiatric Unit
122 12TH STREET EXT
PRINCETON, WV 24740
Emergency Medicine
122 12TH STREET EXT
PRINCETON, WV 24740
Speech-Language Pathologist
122 12TH STREET EXT
PRINCETON, WV 24740
Physician Assistant (Medical)
122 12TH STREET EXT
PRINCETON, WV 24740
Nurse Practitioner (Family)
122 12TH STREET EXT, PRINCETON COMMUNITY HOSPITAL
PRINCETON, WV 24740
Nurse Anesthetist, Certified Registered
122 12TH STREET EXT
PRINCETON, WV 24740

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 Douglas Smith's NPI number?

The NPI number for Douglas Smith is 1114023942. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Douglas Smith located?

Douglas Smith practices at 122 12th Street Ext, Princeton, WV 24740. The listed phone number is (304) 487-7275.

What is Douglas Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Douglas Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.