ISAAC SMITH MD
NPI 1336937366
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Q: What is Isaac Smith's NPI number?

The NPI number for Isaac Smith is 1336937366. It was assigned to this individual provider in the NPPES registry on April 29, 2025.

Q: What is Isaac Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Isaac Smith was last updated on April 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 29, 2025PECOS Enrolled

2627 RIVERSIDE AVE, JACKSONVILLE, FL 32204(904) 308-7372 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Isaac Smith Md NPPES

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

ISAAC SMITH MD (NPI 1336937366) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336937366

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameISAAC SMITHCredential: MD

Location Address2627 RIVERSIDE AVEJacksonville, FL 32204-4717

Mailing Address2627 Riverside AveJacksonville, FL 32204-4717 · (904) 308-7372

Phone(904) 308-7372

Sole ProprietorYes

Enumeration DateApril 29, 2025

NPPES CertifiedApril 29, 2025

✔ NPI 1336937366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2627 RIVERSIDE AVE, Jacksonville, FL 32204

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Isaac Smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.