MICHAEL BENJAMIN SMITH PA-C
NPI 1124074943
Physician Assistant in Fairchild Afb, WA

Active since May 25, 2006
2505 S DENVER ST, FAIRCHILD AFB, WA 99011(590) 247-5414 Get Directions Write a Review

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

About Michael Benjamin Smith Pa-c NPPES

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

MICHAEL BENJAMIN SMITH PA-C (NPI 1124074943) is an individual physician assistant in Fairchild Afb, Washington, licensed in Washington (PA10004669) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1124074943
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL BENJAMIN SMITHCredential: PA-C
Location Address2505 S DENVER STFairchild Afb, WA 99011-8650
Mailing Address10012 S Stangland RdMedical Lake, WA 99022-9409 · (509) 299-6678
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1124074943 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 WA · PA10004669
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.
2505 S DENVER ST, Fairchild Afb, WA 99011

Other Identifiers 2

Other1030141Nccpa Number
OtherPA10004669WA · Wa State Med License

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 Michael Smith's NPI number?

The NPI number for Michael Smith is 1124074943. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Michael Smith located?

Michael Smith practices at 2505 S Denver St, Fairchild Afb, WA 99011. The listed phone number is (590) 247-5414.

What is Michael 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 Michael 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.