Individual
JOSIAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
512 E ELM ST, CALDWELL, ID 83605-4871
(208) 370-7004
Mailing address
512 E ELM ST, CALDWELL, ID 83605-4871
(208) 370-7004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2166
ID
363AM0700X
Medical Physician Assistant
PA-2166
ID
363AM0700X
Medical Physician Assistant
PA939
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507371
—
NV
01
—
100508544
MEDICAID
NV
05
—
1235100991
—
NV
Enumeration date
01/31/2006
Last updated
05/15/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us