Jacob Ezekiel Smith, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

700 High St
Williamsport, PA 17701-3100

Phone

(570) 321-1980

NPI assigned

Sep 24, 2026

Last updated

Sep 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jake Smith Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1558274225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9895 DEER CREEK RD",
            "city": "PORTVILLE",
            "state": "NY",
            "postal_code": "147709641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HIGH ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013100",
            "telephone_number": "570-321-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACOB",
        "middle_name": "EZEKIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "SMITH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ethan Smead
• Angela Lynn Smith, CNM
• Brooke Morgan Smith, PA-C
• Crystallee Smith, LPN
• Jack Michael Smith, MD
• Jennifer Bruno Smith, M.S CCC-SLP/L
• Paul Jeffery Smith, MD
• Emily Snell, D.O.
• Judith Anne Snell, PA-C
• John V. Snurkowski, PA-C

• Surgical Physician Assistant in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Surgical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.