JON E SMUCKER MD
NPI 1396727020
Surgery - Vascular Surgery in Goshen, IN

Q: What is Jon Smucker's NPI number?

The NPI number for Jon Smucker is 1396727020. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Q: What is Jon Smucker's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Jon Smucker was last updated on January 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since November 17, 2005

101 MARILYN AVE, SUITE 4, GOSHEN, IN 46526(574) 533-2769(574) 534-6822 Get Directions Write a Review

NPPES record last updated: January 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jon E Smucker Md NPPES

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

JON E SMUCKER MD (NPI 1396727020) is an individual vascular surgery provider in Goshen, Indiana, licensed in Indiana (26832) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1396727020

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameJON E SMUCKERCredential: MD

Location Address101 MARILYN AVE, SUITE 4Goshen, IN 46526-4800

Mailing Address101 Marilyn Ave, Suite 4Goshen, IN 46526-4800 · (574) 533-2769 · Fax (574) 534-6822

Phone(574) 533-2769

Fax(574) 534-6822

Sole ProprietorNo

Enumeration DateNovember 17, 2005

Last NPPES UpdateJanuary 8, 2008

✔ NPI 1396727020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in IN · 26832

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 26832 (IN)

101 MARILYN AVE, Goshen, IN 46526

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Other Identifiers 2

Medicare UPINB28621

Medicare PIN208030BIN

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.

GOSHEN SURGICAL ASSOCIATES, INC.

Surgery (Vascular Surgery)

101 MARILYN AVE, SUITE 4
GOSHEN, IN 46526

Elkhart County (574) 533-2769

JOHN W HARLEY MD

Surgery (Vascular Surgery)

101 MARILYN AVE, SUITE 4
GOSHEN, IN 46526

Elkhart County (574) 533-2769

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 Jon Smucker's NPI number?

The NPI number for Jon Smucker is 1396727020. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Jon Smucker located?

Jon Smucker practices at 101 Marilyn Ave Suite 4, Goshen, IN 46526. The listed phone number is (574) 533-2769.

What is Jon Smucker's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Jon Smucker was last updated on January 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.