Jon B Smucker (NPI# 1093918476, PAC ID# 0840325171) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1093918476 |
| PAC ID by PECOS | 0840325171 |
| Professional Enrollment ID | I20100826000454 |
| Full Name | Jon B Smucker |
| Organization Legal Name | ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, INC. |
| Address |
2310 California Rd Suite A Elkhart IN 46514-1228 |
| Phone Number | 5742640791 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | SPORTS MEDICINE |
| Secondary Specialties | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0840260105 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150018 | ELKHART GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2310 California Rd, Suite A, Elkhart, IN 46514-1228 | 5742640791 | ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, INC. |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kari L Bowlby | Physical Therapy | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 1775 E Kercher Rd, Goshen, IN 46526-6308 |
| Craig M Enright | Physical Therapy | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 54938 State Rd, Suite 13, Middlebury, IN 46540-8608 |
| Pauline Mary Raasch | Physical Therapy | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 3000 N Main St, Nappanee, IN 46550-8975 |
| Jason A Hix | Sports Medicine | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Mark Klaassen | Orthopedic Surgery | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Julia K Pagano | Podiatry | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Craig Erekson | Orthopedic Surgery | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Joseph M. Caldwell Ii | Orthopedic Surgery | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| David Beatty | Pain Management | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Deanna Kay Scherpereel | Physical Therapy | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Street Address |
2310 CALIFORNIA RD SUITE A |
| City | ELKHART |
| State | IN |
| Zip | 46514-1228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason A Hix | Sports Medicine | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Joann E Marinkovich-davidson | Nurse Practitioner | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Mark Klaassen | Orthopedic Surgery | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Julia K Pagano | Podiatry | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Carolyn M Barbus | Physician Assistant | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Craig Erekson | Orthopedic Surgery | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Joseph M. Caldwell Ii | Orthopedic Surgery | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Scott C Mclaughlin | Physician Assistant | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| John M Kelbel | Orthopedic Surgery | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Helen M Finnan | Physical Therapy | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maciej J Jaskiewicz | Physical Therapy | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| David Beatty | Pain Management | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Deanna Kay Scherpereel | Physical Therapy | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Janann K Lishawa | Physical Therapy | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Charles William Rieck | Physician Assistant | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Gene Grove | Pain Management | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Amy Elizabeth Bosela | Occupational Therapy | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Shelley A Wiesel | Occupational Therapy | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Lauren Nicole Horvath | Occupational Therapy | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Jonathan David Schrock | Pain Management | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Find all physicians in zip 46514 | |||
| City | ELKHART |
| Zip Code | 46514 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | ELKHART + SPORTS MEDICINE |
Please comment or provide details below to improve the information on Jon B Smucker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.