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

Travis J Smith, PA-C

Individual provider Physician Assistant · NPI 1376810689

Travis J Smith, PA-C is a Physician Assistant in Phoenix, Arizona. Licensed in Arizona and Idaho. Registered with an NPI since 2011.

Licensed in
AZ, ID
In the registry since
2011
Specialties on file
3
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

1 N Central Ave
Phoenix, AZ 85004-4414
Phone: (602) 255-7520
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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 PA-7035 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA-954 (ID)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1376810689
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 1, 2011
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024
Mailing address3340 E Goldstone Way, Meridian, ID 83642-1026

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