Jack D. Smith, MD, LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD015396E Issued in PA

Legal business name

JACK D. SMITH, MD, LTD

Practice address

133 Donohoe Rd
Greensburg, PA 15601-6986

Phone

(724) 834-4448

Fax

(724) 834-8563

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jack D Smith, MD

Title

President

Phone

(724) 834-4448

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1851420442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 DONOHOE RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016986",
            "telephone_number": "724-834-4448",
            "fax_number": "724-834-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 DONOHOE RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016986",
            "telephone_number": "724-834-4448",
            "fax_number": "724-834-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK D. SMITH, MD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-834-4448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD015396E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "103789",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3309195",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1948968",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "0734802",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J S Bennett LLC
• Jabbour Medical Center
• Fouad Jabbour, M.D
• Nabil Jabbour, M.D.
• Victor Jabbour, M.D.
• Dawn Jackson
• Jennifer Marie Jackson, LCSW
• Robert Andrew Jackson, DPM
• Tammy Jackson
• Kimberly Jacob

• Specialist in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.