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

Individual provider Physician Assistant · NPI 1962754754

Zachary Kenneth Earl Smith, PA-S is a Physician Assistant in Lima, Ohio. Qualified in 2021, 5 years ago. Practices with Promedica Central Physicians, a 784-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2012
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Practice location Address checks out

770 W High St Ste 160
Lima, OH 45801-5900
Phone: (419) 996-5224
Fax: (419) 996-5276
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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 50.007066RX (OH)

Record details

NPI number1962754754
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-S
Sole proprietorNo
NPI enumeratedOctober 4, 2012
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lima