MR. SHAUN DAVID SMITH PA-C
NPI 1316166085
Physician Assistant - Surgical in Newark, DE

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since April 24, 2007PECOS Enrolled

4755 OGLETOWN-STANTON RD, NEWARK, DE 19718(302) 733-1000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Shaun David Smith Pa-c NPPES

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

MR. SHAUN DAVID SMITH PA-C (NPI 1316166085) is an individual surgical provider in Newark, Delaware, licensed in Delaware (C5-0000451) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316166085

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. SHAUN DAVID SMITHCredential: PA-C

Location Address4755 OGLETOWN-STANTON RDNewark, DE 19718-0001

Mailing Address1403 N Adams StWilmington, DE 19806-3207

Phone(302) 733-1000

Sole ProprietorNo

Enumeration DateApril 24, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1316166085 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 DE · C5-0000451

4755 OGLETOWN-STANTON RD, Newark, DE 19718

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Shaun David Smith Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.