DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. AMY ANN SMITH, PA-C

Active

MS. AMY ANN SMITH, PA-C is a Physician Assistant healthcare provider located in DECATUR, Illinois. NPI 1174875223 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · DECATUR, IL

Registration Details

NPI Number
1174875223
Provider Type
Individual
Gender
Female
NPI Issued
Oct 12, 2012 (13.801343519774 yrs)
Last Updated
Jan 13, 2023
Licenses
085005048 (IL)
5214 (AZ)
085005048 (IL)

Practice Information

Address
550 SOUTHLAND DR
DECATUR, IL, 625214080
Browse IL providers · Browse ZIP 62521
Phone
2174259264
Fax
2174255983
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in DECATUR, IL

Name Credential NPI
WAYNE ALLEN MATHEWS PAC 1891786943
EMILYE JESSICA GRANT PHYSICIAN ASSISTANT 1396721189
MR. BRIAN P JACQUOT P.A.-C 1053369546
JAMES V WRIGHT PA-C 1497774095
AMANDA C SHILS P.A. 1740399880
JENNIFER R SUNDERLAND PA-C 1659475655
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.