Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Direct Surgical Assist PA

Organization Physician Assistant · NPI 1194017954

Direct Surgical Assist PA is a Physician Assistant in Star, Idaho. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

695 N Aspen Lakes Way
Star, ID 83669-5674
Phone: (208) 989-0598
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1194017954
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Smith — President · (208) 989-0598
NPI enumeratedMay 11, 2011
Last updated in NPPESMay 11, 2011
Mailing address695 N Aspen Lakes Way, Star, ID 83669-5674