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JEDEDIAH GEORGE SMITH PA-C
NPI 1316369507
Physician Assistant in Bloomsburg, PA

Active since January 08, 2014
549 FAIR ST., BLOOMSBURG, PA 17815(570) 387-2111 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 1, 2017 (2 updates tracked since 2017).

About Jedediah George Smith Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEDEDIAH GEORGE SMITH PA-C (NPI 1316369507) is an individual physician assistant in Bloomsburg, Pennsylvania, licensed in Pennsylvania (MA056709) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1316369507
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJEDEDIAH GEORGE SMITHCredential: PA-C
Location Address549 FAIR ST.Bloomsburg, PA 17815-6151
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144
Phone(570) 387-2111
Sole ProprietorNo
Enumeration DateJanuary 8, 2014
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1316369507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA056709
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
549 FAIR ST., Bloomsburg, PA 17815
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID J SHILING MD
Psychiatry & Neurology (Neurology)
549 FAIR ST.
BLOOMSBURG, PA 17815
Columbia County (570) 416-1867
MICHAEL JOSEPH STARR D.O.
Emergency Medicine
549 FAIR ST.
BLOOMSBURG, PA 17815
Columbia County (570) 387-2111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jedediah Smith's NPI number?

The NPI number for Jedediah Smith is 1316369507. It was assigned to this individual provider in the NPPES registry on January 8, 2014.

Where is Jedediah Smith located?

Jedediah Smith practices at 549 Fair St., Bloomsburg, PA 17815. The listed phone number is (570) 387-2111.

What is Jedediah Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jedediah Smith was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.