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

Samuel Dennison Smith, PAC, ATC

Individual provider Physician Assistant · NPI 1144878059

Samuel Dennison Smith, PAC, ATC is a Physician Assistant in Klamath Falls, Oregon. Qualified in 2023, 3 years ago. Practices with Sky Lakes Medical Center Inc, a 197-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2019
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2200 Bryant Williams Dr
Klamath Falls, OR 97601-1120
Phone: (541) 884-7746
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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 1205273

Record details

NPI number1144878059
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC , ATC
Sole proprietorYes
NPI enumeratedSeptember 4, 2019
Last updated in NPPESOctober 9, 2023
Certification dateOctober 9, 2023
Mailing address877 Quarry Rd, Middlebury, VT 05753-8441

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sky Lakes Medical Center Inc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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