Susan Jayne Smith, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601005372 Issued in MI

Practice address

1045 E Front St
Buchanan, MI 49107-8474

Phone

(269) 695-5540

Fax

(269) 695-0412

NPI assigned

Aug 27, 2008

Last updated

Aug 27, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Beacon Dowagiac Inc

  dba Beacon Dowagiac

  • Rural Health Clinic/Center
  • Dowagiac, MI
  • NPI 1194717504
  Medicare reassignment NPD
• Beacon Dowagiac Inc

  dba Beacon Kalamazoo

  • Hospitalist Physician
  • Dowagiac, MI
  • NPI 1467315499
  NPD

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1790932168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 S 500 W",
            "city": "TOPEKA",
            "state": "IN",
            "postal_code": "465719577",
            "telephone_number": "260-593-2099",
            "fax_number": "269-695-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 E FRONT ST",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491078474",
            "telephone_number": "269-695-5540",
            "fax_number": "269-695-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUSAN",
        "middle_name": "JAYNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of Michigan Inc (Rite Aid Pharmacy 04237)
• Roy B Parke D.O. (Buchanan Family Medical Center)
• Arlene Mae Saliba El Habre, N.P.
• Sandra L Schneider, PH.D
• Angela M Scoggin, LMFT, MAPSY
• Brenda Dani Smoke, O.D.
• Steven Alan Smoke, O.D.
• Snyder Therapy & Wellness
• Megan Snyder, LMSW; LISW-S
• Southwest Vision Center Inc.

• Physician Assistant in Buchanan, MI
• Providers in Buchanan, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.