Active NPI
Jared N Smith, DO
- Family Medicine Physician
- Mifflinburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS022708
- Practice address
- 137 Forest Hill Rd
Mifflinburg, PA 17844-7066 - Phone
- (570) 966-1004
- Fax
- (570) 966-3736
- NPI assigned
- Jun 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS022708 | PA | Primary |
Addresses
Primary practice location
137 Forest Hill Rd
Mifflinburg, PA 17844-7066
Mailing address
7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123
Other practice location 1
2813 Industrial Park Rd Ste C
Mifflintown, PA 17059-9078
Phone (717) 436-8283
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1041730590001 | Medicaid | PA | |
| 2U8897 | Other | PA | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jaredsmithdo@fpc.medentdirect.com | Health Information Exchange (HIE) | FAMILY PRACTICE CENTER, PC |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Liberty Univ College of Osteopathic Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
137 Forest Hill Rd
Mifflinburg, PA 17844-7004
Phone (570) 966-1004
Hospital & facility affiliations
- Residential Home Health of NC PA, LLC
- Wellspan Evangelical Community Hospital
- Geisinger Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS022708 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice Center, PC | Multi-Specialty | Current | Accepting new patients |
| Family Practice Center, PC | Current | Accepting new patients |
Locations
7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123
137 Forest Hill Rd
Mifflinburg, PA 17844
Phone (570) 966-1004
2813 Industrial Park Rd
Ste C
Mifflintown, PA 17059
Phone (717) 436-8283
9627 Route 35
#10
Mt Pleasant Mills, PA 17853
Phone (570) 539-2561
270 Susquehanna Valley Mall Dr
Ste 300
Selinsgrove, PA 17870
Phone (570) 743-1703
Interoperability endpoints
- jaredsmithdo@fpc.medentdirect.com
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.
-
- Clinical Medical Laboratory
- Selinsgrove, PA
- NPI 1033322466
Hospital & facility affiliations 28
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewisburg, PA
- NPI 1124076039
-
- General Acute Care Hospital
- Danville, PA
- NPI 1013384809
-
- General Acute Care Hospital
- Coal Township, PA
- NPI 1033491741
-
- Psychiatric Hospital Unit
- Danville, PA
- NPI 1144301102
-
- General Acute Care Hospital
- Lewisburg, PA
- NPI 1154617694
-
- General Acute Care Hospital
- Danville, PA
- NPI 1235215427
-
- General Acute Care Hospital
- Danville, PA
- NPI 1275832164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1346865995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 DOCK HILL RD",
"city": "MIDDLEBURG",
"state": "PA",
"postal_code": "178428910",
"telephone_number": "570-837-2123",
"fax_number": "570-837-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 FOREST HILL RD",
"city": "MIFFLINBURG",
"state": "PA",
"postal_code": "178447066",
"telephone_number": "570-966-1004",
"fax_number": "570-966-3736"
}
],
"practiceLocations": [
{
"address_1": "2813 Industrial Park Rd Ste C",
"address_purpose": "LOCATION",
"city": "Mifflintown",
"state": "PA",
"postal_code": "170599078",
"country_code": "US",
"telephone_number": "717-436-8283",
"fax_number": "717-436-8351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "JARED",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-10",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "OS022708",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1041730590001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "2U8897",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jaredsmithdo@fpc.medentdirect.com",
"affiliation": "Y",
"affiliationName": "FAMILY PRACTICE CENTER, PC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "137 Forest Hill Rd",
"city": "Mifflinburg",
"state": "PA",
"country_code": "US",
"postal_code": "178447066",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mifflinburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.