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KEVIN SMITH P.A.
NPI 1396716460
Physician Assistant in Michigan City, IN

Active since January 27, 2006
1225 E COOLSPRING AVE, MICHIGAN CITY, IN 46360(219) 861-8161(219) 873-9504 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Smith P.a. NPPES

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

KEVIN SMITH P.A. (NPI 1396716460) is an individual physician assistant in Michigan City, Indiana, licensed in Indiana (10000208A) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1396716460
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEVIN SMITHCredential: P.A.
Location Address1225 E COOLSPRING AVEMichigan City, IN 46360-6312
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Phone(219) 861-8161
Fax(219) 873-9504
Sole ProprietorNo
Enumeration DateJanuary 27, 2006
Last NPPES UpdateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
✔ NPI 1396716460 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 · 10000208A
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.
1225 E COOLSPRING AVE, Michigan City, IN 46360
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Other Identifiers 1

Other000000369959IN · Anthem

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.

HEALTHPARTNERS MEDICAL GROUP, LLC
Clinic/Center (Multi-Specialty)
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Laporte County (219) 879-6531
CAROL LYNN PARKS
Nurse Practitioner (Family)
1225 E COOLSPRING AVE, 2-E
MICHIGAN CITY, IN 46360
Laporte County (219) 879-6531
STEPHEN KROCZEK M.D.
Ophthalmology
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Laporte County (219) 878-5034
LAKESHORE EYE CONSULTANTS, LLC
Ophthalmology
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Laporte County (765) 414-3876
REBECCA S MCKINNEY PTA
Physical Therapy Assistant
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Laporte County (219) 365-6560
MICHAEL BASSETT O.D.
Optometrist
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Laporte County (219) 878-5021
KRISTINA WU M.D.
Internal Medicine (Pulmonary Disease)
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Laporte County (219) 879-6531
DR. RALPH M CARUSO DO
Family Medicine
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Laporte County (219) 873-2919

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 Kevin Smith's NPI number?

The NPI number for Kevin Smith is 1396716460. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Kevin Smith located?

Kevin Smith practices at 1225 E Coolspring Ave, Michigan City, IN 46360. The listed phone number is (219) 861-8161.

What is Kevin 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 Kevin Smith was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.