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

Individual provider Medical Physician Assistant · NPI 1528430501

Stephen Smith, PA-C is a Physician Assistant in Farmington, New Mexico. Qualified in 2015, 11 years ago. Practices with San Juan Regional Medical Center, Inc, a 231-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
11
Licensed in
NM
In the registry since
2015
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

2500 Farmington Ave
Farmington, NM 87401-4504
Phone: (505) 609-2860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 W Broadway, Farmington, NM 87401-5638 — (505) 325-8022

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2015-0083 (NM)

Record details

NPI number1528430501
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 29, 2015
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024
Mailing addressPo Box 844088, Dallas, TX 75284-4088

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice San Juan Regional Medical Center, Inc. — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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