MS. JUDITH LYNN SMITH PA-C
NPI 1124115795
Physician Assistant in Elkhart, IN

Q: What is Judith Smith's NPI number?

The NPI number for Judith Smith is 1124115795. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Q: What is Judith Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Judith Smith was last updated on September 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since October 06, 2006

22818 OLD US 20, COMMUNITY OCCUPATIONAL MEDICINE, ELKHART, IN 46516(574) 389-1231(574) 389-1232 Get Directions Write a Review

NPPES record last updated: September 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Judith Lynn Smith Pa-c NPPES

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

MS. JUDITH LYNN SMITH PA-C (NPI 1124115795) is an individual physician assistant in Elkhart, Indiana, licensed in Indiana (10000535A) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1124115795

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. JUDITH LYNN SMITHCredential: PA-C

Location Address22818 OLD US 20, COMMUNITY OCCUPATIONAL MEDICINEElkhart, IN 46516

Mailing Address1454 Maple LnNappanee, IN 46550-2811 · (574) 773-7898

Phone(574) 389-1231

Fax(574) 389-1232

Sole ProprietorNo

Enumeration DateOctober 6, 2006

Last NPPES UpdateSeptember 18, 2008

✔ NPI 1124115795 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 IN · 10000535A

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.

22818 OLD US 20, Elkhart, IN 46516

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Other Providers at the Same Location NPPES 8

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

MRS. THERESA ANN CLARK FNP-BC

Nurse Practitioner (Family)