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

MS. Tracy Marie Smith, PA-C

Individual provider Medical Physician Assistant · NPI 1609109024

MS. Tracy Marie Smith, PA-C is a Medical Physician Assistant in Philadelphia, Pennsylvania. Licensed in California and Pennsylvania. Registered with an NPI since 2009.

Licensed in
CA, PA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4190 City Ave Ste 528
Philadelphia, PA 19131-1626
Phone: (866) 453-8800
Fax: (844) 734-7689
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA054091 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA21436 (CA)

Record details

NPI number1609109024
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 16, 2009
Last updated in NPPESSeptember 14, 2015

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