KENNETH ERIC SMOOT PA
NPI 1376689372
Physician Assistant in Gainesville, FL

Active since January 29, 2007
1601 SW ARCHER RD, GAINESVILLE, FL 32608(352) 376-1611(352) 379-4015 Get Directions Write a Review

NPPES record last updated: March 31, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Eric Smoot Pa NPPES

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

KENNETH ERIC SMOOT PA (NPI 1376689372) is an individual physician assistant in Gainesville, Florida, licensed in Georgia (003686) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1376689372
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENNETH ERIC SMOOTCredential: PA
Location Address1601 SW ARCHER RDGainesville, FL 32608-1135
Mailing Address1601 Sw Archer Rd.Gainesville, FL 32608 · (352) 376-1611 · Fax (352) 379-4015
Fax(352) 379-4015
Sole ProprietorNo
Enumeration DateJanuary 29, 2007
Last NPPES UpdateMarch 31, 2010
NPI 1376689372 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 GA · 003686
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.
1601 SW ARCHER RD, Gainesville, FL 32608

Other Identifiers 2

Medicare UPINP01768GA
Medicare ID-Type Unspecified97WCFCDGA · Georgia Medicare Number

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Social Worker (Clinical)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Internal Medicine (Gastroenterology)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Social Worker (Clinical)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Specialist/Technologist, Pathology (Histology)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Pharmacist (Pharmacotherapy)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Dentist (General Practice)
1601 SW ARCHER RD, DENTAL SERVICE (160), V.A. MEDICAL CENTER
GAINESVILLE, FL 32608
Psychologist (Clinical)
1601 SW ARCHER RD, MALCOM RANDALL VAMC ;NF/SG VETERANS HEALTH SYSTEM
GAINESVILLE, FL 32608

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 Kenneth Smoot's NPI number?

The NPI number for Kenneth Smoot is 1376689372. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Kenneth Smoot located?

Kenneth Smoot practices at 1601 SW Archer Rd, Gainesville, FL 32608. The listed phone number is (352) 376-1611.

What is Kenneth Smoot'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 Kenneth Smoot was last updated on March 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.