Shelly Lynn Smith, P.A.
Physician Assistant in Royal Oak, MI. Individual provider (NPI-1).
NPI number1346210697
StatusActive
Last updated in NPPESOct 11, 2012
Details
- NPI
- 1346210697
- Entity type
- Individual (NPI-1)
- Name
- Shelly Lynn Smith
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2006
- Last updated
- Oct 11, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601002713 | MI | Yes |
Practice location
221 S Main StSuite 201
Royal Oak, MI 48067-2653
Phone 248-398-6459 · Fax 248-398-4770
Mailing address
221 S Main StSuite 201
Royal Oak, MI 48067-2653
Phone 248-398-6459 · Fax 248-398-4770
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 212 Physician Assistant providers in Royal Oak · All 4,589 providers in Royal Oak
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