Individual provider Active NPI

Jacob Smith, DO

  • Family Medicine Physician
  • Clarion, PA
National Provider Identifier
1932778735
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS025495 Issued in PA
Practice address
24 Doctors LN Ste 202
Clarion, PA 16214-8574
Phone
(814) 226-2500
Fax
(814) 226-4505
NPI assigned
Jun 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS025495 PA Primary

Addresses

Primary practice location

24 Doctors LN Ste 202
Clarion, PA 16214-8574

Mailing address

24 Doctors LN Ste 202
Clarion, PA 16214-8574
Phone (814) 226-2500

Other practice location 1

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone (412) 942-4272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260107001759 PA Practitioner - Family Practice 3678949641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone (412) 942-2582

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS025495PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Professional Services Inc CurrentSince Dec 1, 2025 Accepting new patients
St Clair Professional Services Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1932778735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DOCTORS LN STE 202",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148574",
            "telephone_number": "814-226-2500",
            "fax_number": "814-226-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 DOCTORS LN STE 202",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148574",
            "telephone_number": "814-226-2500",
            "fax_number": "814-226-4505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Bower Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152431873",
            "country_code": "US",
            "telephone_number": "412-942-4272",
            "fax_number": "412-942-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACOB",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS025495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, PA

Sources for this page

Verify at the official NPI Registry.