Hallie R Theobald, PA
Hallie R Theobald, PA is a Physician Assistant in Smith Center, Kansas. Qualified in 2020, 6 years ago. Practices with Great Plains of Smith Co Inc, a 14-clinician group and accepts Medicare assignment. Licensed in Kansas.
- Years since qualifying
- 6
- Licensed in
- KS
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
921 E Highway 36Smith Center, KS 66967-9582
Phone: (785) 282-6845
Fax: (785) 282-6331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 15-02462 (KS) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1992384002 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | April 6, 2021 |
| Last updated in NPPES | December 4, 2024 |
| Certification date | December 4, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Great Plains Of Smith Co Inc — 14 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |