Active NPI
Paul Jeffery Smith, MD
- Occupational Medicine Physician
- Williamsport, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- MD492254
- Practice address
- 1100 Grampian Blvd
Williamsport, PA 17701-1907 - Phone
- (570) 320-7444
- NPI assigned
- Feb 26, 2007
- Last updated
- Nov 12, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | MD492254 | PA | Primary |
| Occupational Medicine Physician | 2083X0100X | MD-5955 | HI |
Addresses
Primary practice location
1100 Grampian Blvd
Williamsport, PA 17701-1907
Mailing address
1201 Grampian Blvd
Williamsport, PA 17701-1900
Phone (888) 647-9600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030964-03 | Medicaid | HI | |
| 0000034413 | Other | HI | HMSA BILLING NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UPMCHospitals@upmc.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Preventive Medicine
- Education
- Howard University College of Medicine, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1201 Grampian Blvd
Williamsport, PA 17701-1900
32 -36 Central Ave
Wellsboro, PA 16901-1899
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.5 of 100
- Quality
- 89.18
- Improvement activities
- 40
- Cost
- 79.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD492254 | PA | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawaii Pacific Neuroscience LLC | Current | Accepting new patients | |
| Susquehanna Physician Services | Current | Accepting new patients | |
| Susquehanna Physician Services | Occupational Medicine | Current | Accepting new patients |
| Hawaii Permanente Medical Group Inc | Current | Accepting new patients | |
| Susquehanna Physician Services | Past | Accepting new patients |
Locations
2230 Liliha St
Ste 104
Honolulu, HI 96817
Phone (808) 261-4476
3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
94-1480 Moaniani St
Waipahu, HI 96797
Phone (808) 432-2000
10 Shady Ln
Ste 202
Muncy, PA 17756
Phone (570) 546-3633
1100 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8005
1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723
700 High St
Williamsport, PA 17701
Phone (570) 321-1000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DADHAA
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Susquehanna Health Medical Group
- Occupational Medicine Physician
- Williamsport, PA
- NPI 1134455967
-
- Neurology Physician
- Honolulu, HI
- NPI 1043442908
-
- Health Maintenance Organization
- Honolulu, HI
- NPI 1710945969
-
- Radiology Clinic/Center
- Mansfield, PA
- NPI 1073361564
-
dba Susquehanna Health Medical Group
- Family Medicine Physician
- South Williamsport, PA
- NPI 1780631226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1639205206",
"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",
"telephone_number": "888-647-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 GRAMPIAN BLVD",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177011907",
"telephone_number": "570-320-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "PAUL",
"middle_name": "JEFFERY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "PA",
"license": "MD492254",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "HI",
"license": "MD-5955",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030964-03",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA BILLING NUMBER",
"identifier": "0000034413",
"state": "HI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "UPMCHospitals@upmc.com",
"affiliation": "N",
"endpointDescription": "Secure UPMC direct address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "600 Grant St Fl 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192739",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.