NPIMap

Individual provider Active NPI

Jack Michael Smith, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Williamsport, PA
National Provider Identifier
1346687720
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD463374 Issued in PA
Practice address
1100 Grampian Blvd
Williamsport, PA 17701
Phone
(570) 326-8457
Fax
(570) 320-7989
NPI assigned
May 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD463374 PA Primary

Addresses

Primary practice location

1100 Grampian Blvd
Williamsport, PA 17701

Mailing address

1201 Grampian Blvd
Williamsport, PA 17701-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180731001239 PA Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 7214177500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Temple University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

160 N Pointe Blvd
Suite 200
Lancaster, PA 17601-4134
Phone (717) 358-0814

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.39 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
64.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Argires Marotti Neurosurgical Associates of Lancaster, PC Pain Medicine CurrentSince Mar 1, 2020 Accepting new patients
Argires Marotti Physical Therapy CurrentSince Mar 1, 2020 Accepting new patients
Advanced Surgery Center of Lancaster, LLC PastSince Mar 1, 2020 Accepting new patients

Locations

160 N Pointe Blvd
Ste 105
Lancaster, PA 17601
Phone (717) 359-3510

160 N Pointe Blvd
Ste 200
Lancaster, PA 17601
Phone (717) 358-0800

Interoperability endpoints

  • Direct secure messaging: jsmith197592@direct-lghealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1369526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1346687720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GRAMPIAN BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "17701",
            "telephone_number": "570-326-8457",
            "fax_number": "570-320-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-26",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD463374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.