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

Individual provider Physician Assistant · NPI 1508467010

Amanda Dawn Smith, PA is a Physician Assistant in Lancaster, Ohio. Qualified in 2020, 6 years ago. Practices with Center for Surgical Dermatology Inc, a 33-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1566 Monmouth Dr Ste 101
Lancaster, OH 43130-8048
Phone: (740) 687-1177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2000 Newark Granville Rd Ste 202, Granville, OH 43023-7009 — (740) 587-3376

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.006613RX (OH)

Record details

NPI number1508467010
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedNovember 3, 2020
Last updated in NPPESJanuary 7, 2024
Certification dateJanuary 7, 2024
Mailing address1566 Monmouth Dr Ste 101, Lancaster, OH 43130-8048

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Center For Surgical Dermatology Inc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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