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

Mr. Kirby Bennett Turner, PA-S

Individual provider Surgical Physician Assistant · NPI 1023680626

Mr. Kirby Bennett Turner, PA-S is a Physician Assistant in Smithtown, New York. Qualified in 2021, 5 years ago. Practices with Timothy D. Groth MD PC, a 44-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
5
In the registry since
2021

Practice location Address checks out

994 W Jericho Tpke Ste 104
Smithtown, NY 11787-3211
Phone: (631) 543-1440
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1023680626
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-S
Sole proprietorYes
NPI enumeratedJuly 13, 2021
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Timothy D. Groth Md Pc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Smithtown