DR. JACOB GORDON SMITH DO
NPI 1366337511
Student in an Organized Health Care Education/Training Program in Detroit, MI
About Dr. Jacob Gordon Smith Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACOB GORDON SMITH DO (NPI 1366337511) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jacob Gordon Smith Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366337511, enumerated as an "individual" on June 10, 2025.
The provider is located at 4201 ST ANTOINE UHC-9C DETROIT, MI 48201 and the phone number is (313) 745-5146.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
