NPI age
15 years
Enumerated 2011-05-11
● Active Type 2 · Organization
Direct Surgical Assist PA
Direct Surgical Assist PA is 1 of 1263 physician assistant organizations in Idaho.
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
President
Last NPPES update
2011-05-11
Source: monthly bulk 2026-05
How this organization compares
Across 1263 active physician assistant providers in Idaho.
NPI age
15 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-05Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
695 N Aspen Lakes Way
Star, ID 836695674
Mailing address
695 N Aspen Lakes Way
Star, ID 836695674
Authorized official
Jeffrey Dale Smith, PA-C
President
📞 2089890598
Specialties
-
Physician Assistant PrimaryA 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...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.