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

Timothy D Smith, PA

Individual provider Physician Assistant · NPI 1487834297

Timothy D Smith, PA is a Physician Assistant in Phoenix, Arizona. Licensed in Arizona and Florida. Registered with an NPI since 2007.

Licensed in
AZ, FL
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

15215 S 48th St Ste 113
Phoenix, AZ 85044-9142
Phone: (480) 961-9299
Fax: (480) 961-1802
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 4778 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 4778 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9104364 (FL)

Record details

NPI number1487834297
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 8, 2007
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023
Mailing address7975 N Hayden Rd, Ste D354, Scottsdale, AZ 85258-3243

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