Jeffrey S Smith, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS-004653-L Issued in PA

Practice address

734 E High St
Waynesburg, PA 15370-1710

Phone

(724) 852-2050

Fax

(724) 627-7828

NPI assigned

Oct 3, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rolling Meadows Operating LLC

  • Skilled Nursing Facility
  • Waynesburg, PA
  • NPI 1669186870
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1124015367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 E HIGH ST",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153701710",
            "telephone_number": "724-852-2050",
            "fax_number": "724-627-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 E HIGH ST",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153701710",
            "telephone_number": "724-852-2050",
            "fax_number": "724-627-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS-004653-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa L Silvestros, RPH
• Morgan Simkovic, PT
• Kristin M Simpson, DPT
• Elizabeth Smith, LPC
• Jashawn Jordan Smith
• Clayton Soltesz, DO
• Lisa Marie Soltys
• Emily Michelle Spade, SLP
• SRMC Healthcare Group
• SRMC Healthcare Group LLC

• General Practice Physician in Waynesburg, PA
• Providers in Waynesburg, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.