Active NPI
Jami S Smith, PAC
- Physician Assistant
- Abington, PA
National Provider Identifier
1194837815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA003090L
- Practice address
- 1200 Old York Rd
Abington, PA 19001 - Phone
- (215) 481-4355
- Fax
- (215) 481-4629
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA003090L | PA | Primary |
Addresses
Primary practice location
1200 Old York Rd
Abington, PA 19001
Mailing address
PO Box 3012
Wilmington, DE 19804
Phone (800) 456-4629
Other names 1
- Jami S Grim
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA003090L | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roosevelt Emergency Physicians | Past | Accepting new patients | |
| Colonial Emergency Physicians | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Lansdale, PA
- NPI 1609828656
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1043263726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194837815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3012",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19804",
"telephone_number": "800-456-4629",
"fax_number": "302-224-2848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 OLD YORK RD",
"city": "ABINGTON",
"state": "PA",
"postal_code": "19001",
"telephone_number": "215-481-4355",
"fax_number": "215-481-4629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JAMI",
"middle_name": "S",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA003090L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMI",
"last_name": "GRIM",
"middle_name": "S",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Abington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.