Roosevelt Smith, PAC, ATR
NPI 1003836701 · Medical Physician Assistant · Winona, MN
Roosevelt Smith, PAC, ATR is a Medical Physician Assistant provider in Winona, MN (NPI 1003836701).
Provider details
- NPI number
- 1003836701
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC, ATR
- Sex
- Male
- Sole proprietor
- No
- License
- 9155 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2007-07-08
Frequently asked questions
- What is Roosevelt Smith's NPI number?
- Roosevelt Smith's National Provider Identifier (NPI) is 1003836701, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roosevelt Smith's specialty?
- Roosevelt Smith is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Roosevelt Smith located?
- Roosevelt Smith's practice location on file with NPPES is 62 E 3rd St, Winona, MN 55987-3481.
- What is Roosevelt Smith's phone number?
- The practice phone number listed in the NPPES registry for Roosevelt Smith is (507) 474-4770.
- Is Roosevelt Smith's NPI active?
- Yes — Roosevelt Smith's NPI (1003836701) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.