Active NPI
Jacob Smith, PA-C
- Physician Assistant
- Akron, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 214 W Bowery St
Akron, OH 44308-1046 - Phone
- (330) 543-1000
- NPI assigned
- Apr 19, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
214 W Bowery St
Akron, OH 44308-1046
Mailing address
275 Eastland Rd
Berea, OH 44017-2005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
158 W Main Rd
Conneaut, OH 44030-2039
630 E River St
Elyria, OH 44035-5902
Phone (440) 329-7500
Hospital & facility affiliations
- University Hospitals - Elyria Medical Center
- Uh Cleveland Medical Center
- Uh St John Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices | Past | Accepting new patients | |
| Baldwin Wallace University | Past | Accepting new patients |
Locations
917 N Lake St
Ste 100
Amherst, OH 44001
Phone (440) 634-5640
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
26127 Lorain Rd
Ste 200B
North Olmsted, OH 44070
Phone (440) 743-8569
32800 Lorain Rd
Ste 1100
North Ridgeville, OH 44039
Phone (440) 329-2810
5001 Transportation Dr
Ste 101
Sheffield Village, OH 44054
Interoperability endpoints
- jsmith602742@ehrdirect.uhhospitals.org
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- Mentor, OH
- NPI 1003935339
-
- Urgent Care Clinic/Center
- Parma, OH
- NPI 1770993453
-
- Orthopaedic Surgery Physician
- Sheffield Village, OH
- NPI 1114054384
-
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
-
- Student Health Clinic/Center
- Berea, OH
- NPI 1730157272
-
- Pediatrics Physician
- Twinsburg, OH
- NPI 1326166752
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elyria, OH
- NPI 1841299039
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
-
- General Acute Care Hospital
- Westlake, OH
- NPI 1841264868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1740923671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 EASTLAND RD",
"city": "BEREA",
"state": "OH",
"postal_code": "440172005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 W BOWERY ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443081046",
"telephone_number": "330-543-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JACOB",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-19",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.