JEDEDIAH GEORGE SMITH (NPI# 1316369507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316369507 |
| Entity Type | Individual |
| Full Name | JEDEDIAH GEORGE SMITH |
| Credential | PA-C |
| Practice Address |
549 Fair St. Bloomsburg PA 17815-6151 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5703872111 |
| Mailing Telephone | (570) 271-6144 |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2017-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA056709 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
549 FAIR ST. |
| City | BLOOMSBURG |
| State | PA |
| Zip Code | 17815-6151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851311880 | Michael Joseph Starr | Emergency Medicine | 549 Fair St., Bloomsburg, PA 17815-6151 | 2006-07-20 |
| 1295015196 | Peter V Stewart | Counselor | 549 Fair St., Bloomsburg, PA 17815-6177 | 2011-08-23 |
| 1649387234 | David J Shiling | Psychiatry & Neurology | 549 Fair St., Bloomsburg, PA 17815-6107 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1124457551 | Patricia Marie Archey | Physician Assistant | 93 Avon Ave, Bloomsburg, PA 17815 | 2013-11-06 |
| 1154684561 | Alice Michele Weaver Maczuga | Social Worker | 816 Central Road, Bollmsburg, PA 17815 | 2012-06-20 |
| 1396069332 | Cmsu Behavioral Health and Developmental Services | Community/Behavioral Health | 675 Locust St, Bloomsburg, PA 17815 | 2010-03-19 |
| 1922235829 | Joel Stephen Hamilton | Dentist | 2 Audubon Court, Bloomsburg, PA 17815 | 2009-06-18 |
| 1508011685 | Cindy A Prosseda | Social Worker | 6850 Lowes Road, Bloomsburg, PA 17815 | 2008-11-17 |
| 1881854271 | Francis Joseph Welk | Physical Therapist | 410 Glen Ave, Suite 101 Susquehanna Physical Therapy Associates, Bloomsburg, PA 17815 | 2008-06-10 |
| 1679652390 | John A Scerbo | Dentist | 812 Central Road, Bloomsburg, PA 17815 | 2006-11-03 |
| 1104914811 | Columbia Ancillary Services Inc | Durable Medical Equipment & Medical Supplies | 1141 Ridge Road, Bloomsburg, PA 17815 | 2006-10-10 |
| 1922192681 | Patricia M. Taylor | Speech-Language Pathologist | 6530 Main Street, Bloomsburg, PA 17815 | 2006-10-03 |
| Find all providers in zip 17815 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124457551 | Patricia Marie Archey | Physician Assistant | 93 Avon Ave, Bloomsburg, PA 17815 | 2013-11-06 |
| 1144508193 | Katelin Malishchak | Physician Assistant | 425 East First St., Bloomsburg, PA 17815-6183 | 2011-07-25 |
| 1548268113 | Christine Ann Dopp | Physician Assistant | 6850 Lows Rd, Suite 320, Bloomsburg, PA 17815-8729 | 2005-07-08 |
| 1326522574 | James Thomas Kane II | Physician Assistant | 425 E 1st St, Bloomsburg, PA 17815-1480 | 2018-09-23 |
| 1982182234 | Catherine Ann Fisher | Physician Assistant | 2407 Reichart Rd, Bloomsburg, PA 17815-8969 | 2018-07-30 |
| 1053897678 | Haylee Elizabeth Oldaker | Physician Assistant | 549 Fair St, Bloomsburg, PA 17815-1419 | 2018-07-17 |
| 1770032492 | Lauren Elizabeth Samuels | Physician Assistant | 425 E 1st St, Bloomsburg, PA 17815-1480 | 2016-09-22 |
| 1265812499 | Ariel Nichole Middleton | Physician Assistant | 6850 Lows Rd, Bloomsburg, PA 17815-8708 | 2015-06-03 |
| 1255767463 | Geisinger Clinic | Physician Assistant | 425 E 1st St, Bloomsburg, PA 17815-1480 | 2013-09-19 |
| 1285980136 | Doni R Walker-jackson | Physician Assistant | 549 Fair St, Bloomsburg, PA 17815-1419 | 2012-07-30 |
| Find all providers in BLOOMSBURG | ||||
| City | BLOOMSBURG |
| Zip Code | 17815 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.