Eian Jacob Smith I

Primary specialty

Health Information Specialist/TechnologistTaxonomy code 246Y00000X

Practice address

1816 S Woodland Dr
Port Huron, MI 48060-1945

Phone

(815) 271-1188

NPI assigned

Sep 7, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1316668338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 S WOODLAND DR",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480601945",
            "telephone_number": "815-271-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 S WOODLAND DR",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480601945",
            "telephone_number": "815-271-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EIAN",
        "middle_name": "JACOB",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Health Information",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Darrell Smith
• Camilla Smith
• Carol Ann Smith, D.C.
• Chester Anthony Smith III
• David Paul Smith, DDS
• Emma Abigail Smith
• Faith A Smith, LLPC
• Janet L Smith, MA, LPC
• Jennifer Lynn Smith
• Jody Nathaniel Smith, D.C.

• Health Information Specialist/Technologist in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Health Information Specialist/Technologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.