DR. JACK MICHAEL SMITH


Address: 1100 Grampian Blvd, Williamsport, PA 17701
Phone: 5703268457

DR. JACK MICHAEL SMITH (NPI# 1346687720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346687720
Entity Type Individual
Full Name DR. JACK MICHAEL SMITH
Credential MD
Practice Address 1100 Grampian Blvd
Williamsport
PA 17701
Mailing Address 1201 Grampian Blvd
Williamsport
PA 17701-1900
Practice Telephone 5703268457
Practice Fax Number 5703207989
Enumeration Date 2013-05-26
Last Update Date 2018-07-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
MD463374 PA Allopathic & Osteopathic Physicians

Other Providers JACK SMITH

NPI Name Taxonomy Address Enumeration
1669885687 Jack Smith Social Worker 933 Sw 3rd St, Moore, OK 73160-2261 2014-06-06
1659450773 Jack Steven Smith Chiropractor 1815 W Missouri Ave Ste 102, Phoenix, AZ 85015-3047 2006-11-02
1043248818 Jack Dale Smith Urology 1321 Cottonwood St, Suite 302, Woodland, CA 95695-5131 2006-06-29
1528036704 Jack Bradley Smith Physician Assistant 4401 W Memorial Rd, Oklahoma City, OK 73134-1785 2006-03-14
1538133426 Jack Dempsey Smith Dentist 2919 Colony Rd, Durham, NC 27705-5595 2006-02-15
1891780581 Jack D Smith Specialist 133 Donohoe Rd, Greensburg, PA 15601-6986 2005-09-19
1952593691 Jack W. Smith Family Medicine 5111 Leesburg Pike, Skyline 5, Suite 601, Falls Church, VA 22041-3251 2007-08-16
1710191564 Jack Smith Counselor 15040 S Ravinia Ave Ste 44, Orland Park, IL 60462-3173 2007-05-10
1356489462 Jack Brian Smith Dentist 160 Three Rivers Dr Ne, Ste. 1600, Rome, GA 30161-2303 2007-02-01
1871538041 Jack Coldwell Smith IIi Internal Medicine 409 Cottage Rd, Carthage, TX 75633-1466 2006-06-19

Office Location

Street Address 1100 GRAMPIAN BLVD
City WILLIAMSPORT
State PA
Zip Code 17701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902804339 Jennifer Ellyn Bayer Nurse Practitioner 1100 Grampian Blvd, Williamsport, PA 17701-1909 2005-07-11
1225647548 Justin Silverstrim Physician Assistant 1100 Grampian Blvd, Williamsport, PA 17701-1907 2020-07-23
1346862745 Kyle Creighton Thiel Nurse Practitioner 1100 Grampian Blvd, Williamsport, PA 17701-1907 2020-05-08
1598399610 Jacquelyn Elaine Baker Social Worker 1100 Grampian Blvd, Williamsport, PA 17701-1909 2020-02-27
1811531304 Elizabeth Belz Physician Assistant 1100 Grampian Blvd, Williamsport, PA 17701-1907 2019-10-29
1881157618 Stephanie Herman Nurse Practitioner 1100 Grampian Blvd, Williamsport, PA 17701-1909 2019-04-09
1376017947 Amanda Marie Swanson Nurse Practitioner 1100 Grampian Blvd, Williamsport, PA 17701-1909 2019-01-17
1225500770 Upmc Williamsport Clinic/Center 1100 Grampian Blvd, Williamsport, PA 17701-1909 2018-12-21
1649746488 Upmc Williamsport Psychiatric Unit 1100 Grampian Blvd, Williamsport, PA 17701-1909 2018-10-19
1164907226 Robin Elaine Sammons Nurse Practitioner 1100 Grampian Blvd, Williamsport, PA 17701-1909 2018-09-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184267809 Charlene Angella Pitter Nurse Practitioner 170 Warren Ave, Williamsport, PA 17701 2019-10-25
1396395299 Susan E Fetzer Occupational Therapy Assistant Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 2019-09-13
1184280984 Craig Andrew Tuller Student in an Organized Health Care Education/Training Program Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 2019-05-16
1760048045 Michael Harvey Student in an Organized Health Care Education/Training Program 740 High St. Suite 4001, Williamsport, PA 17701 2019-05-13
1275196008 Olivia Fladmark Student in an Organized Health Care Education/Training Program Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 2019-04-17
1528551231 Mark Hampton Chiropractic Inc. Durable Medical Equipment & Medical Supplies 1111 East 3rd Street, Williamsport, PA 17701 2018-06-08
1548710882 Central Pennsylvania Rehabilitation Medicine, Inc Physical Medicine & Rehabilitation 460 River Ave Ste 1, Williamsport, PA 17701 2016-10-11
1376096784 Christine Kessler Physician Assistant One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 2016-08-02
1629440276 Matthew Ray Rebuck Specialist/Technologist 220 N Reach Rd, Williamsport, PA 17701 2015-10-22
1508237223 Neihl Williamson Physician Assistant 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 2015-10-08
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902219702 Kyle Matthew Weiss Physical Medicine & Rehabilitation 501 Cetronia Rd Ste 125, Allentown, PA 18104-9569 2014-06-09
1558771089 Christian Boris Acharte Physical Medicine & Rehabilitation 700 Horizon Circle Ste 206, Chalfont, PA 18914-3967 2014-05-06
1649618349 David Stephen Mills Physical Medicine & Rehabilitation 8775 Norwin Ave Ste 108, North Huntingdon, PA 15642 2013-06-05
1306184858 Lighthouse Medical, LLC Physical Medicine & Rehabilitation 301 E. Pleasant Valley Blvd, Altoona, PA 16602 2013-01-17
1710243787 Alcinto Steven Guirand Physical Medicine & Rehabilitation 1450 Scalp Ave Ste 2100, Johnstown, PA 15904-3374 2012-04-04
1578848651 Performance Spine and Sports Medicine of Newtown, LLC Physical Medicine & Rehabilitation 828 Newtown Yardley Road, A, Newtown, PA 18940 2011-10-20
1588974588 Greater Philadelphia Pain Management Center PC Physical Medicine & Rehabilitation 104 Bailey Dr, North Wales, PA 19454-4526 2010-10-12
1245545813 Maureen Murphy Ginsburg Physical Medicine & Rehabilitation 551 W Mahoning St, Punxsutawney, PA 15767 2010-08-08
1205071297 Bethia A. Cawley Physical Medicine & Rehabilitation 2804 Southampton Rd, Philadelphia, PA 19154-1207 2008-12-05
1891953188 Paris Hughes Physical Medicine & Rehabilitation 2447 N 54th St, Philadelphia, PA 19131-2423 2008-05-23
Find all providers with the same taxonomy

Competitor

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City WILLIAMSPORT
Zip Code 17701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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