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DIRECT SURGICAL ASSIST PA
NPI 1194017954
Physician Assistant in Star, ID

Active since May 11, 2011
695 N ASPEN LAKES WAY, STAR, ID 83669(208) 989-0598 Get Directions Write a Review

NPPES record last updated: May 11, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Direct Surgical Assist Pa NPPES

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

DIRECT SURGICAL ASSIST PA (NPI 1194017954) is a healthcare organization registered as a physician assistant in Star, Idaho and active in the NPI registry since May 2011. The organization lists Jeffrey Dale Smith, President, as its authorized official.

NPPES Registry Identity

NPI1194017954
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameDIRECT SURGICAL ASSIST PA
Location Address695 N ASPEN LAKES WAYStar, ID 83669-5674
Mailing Address695 N Aspen Lakes WayStar, ID 83669-5674 · (208) 989-0598
Phone(208) 989-0598
Organization SubpartNo
Authorized OfficialJeffrey Dale SmithPresident · (208) 989-0598
Enumeration DateMay 11, 2011
✔ NPI 1194017954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
695 N ASPEN LAKES WAY, Star, ID 83669
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Direct Surgical Assist PA's NPI number?

The NPI number for Direct Surgical Assist PA is 1194017954. It was assigned to this organization in the NPPES registry on May 11, 2011.

Where is Direct Surgical Assist PA located?

Direct Surgical Assist PA is located at 695 N Aspen Lakes Way, Star, ID 83669. The listed phone number is (208) 989-0598.

What is Direct Surgical Assist PA'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 Direct Surgical Assist PA was last updated on May 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.