Individual provider Active NPI

Paul Jeffery Smith, MD

  • Occupational Medicine Physician
  • Williamsport, PA
National Provider Identifier
1639205206
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
MD492254 Issued in PA
Practice address
1100 Grampian Blvd
Williamsport, PA 17701-1907
Phone
(570) 320-7444
NPI assigned
Feb 26, 2007
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
030964-03MedicaidHI
0000034413OtherHIHMSA BILLING NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMCHospitals@upmc.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110715000208 HI Practitioner - Preventive MedicinePractitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 4880862986 Reassigns benefits to 2 organizations
I20251104001767 PA Practitioner - Preventive Medicine 4880862986 Reassigns benefits to 1 organization

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 100Reported as group
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

LicenseStateTypeSpecialty
MD492254PAMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Pacific Neuroscience LLC CurrentSince Oct 4, 2021 Accepting new patients
Susquehanna Physician Services CurrentSince Oct 1, 2025 Accepting new patients
Susquehanna Physician Services Occupational Medicine CurrentSince Oct 1, 2025 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince May 22, 2011 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.