National Provider Identifier
Jacob R Smith, PA-C
Jacob R Smith, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 636-5000.
Source: public NPPES record, last updated January 21, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1851043772
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 21, 2022
- Last Updated
- January 21, 2022
Practice Location
- 800 Washington St
- Boston, MA 02111-1552
Phone: (617) 636-5000
Mailing Address
- 27 Park RD # 2
- Belmont, MA 02478-3626
Specialties
- Physician Assistant (363A00000X)
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Biography
Jacob R. Smith, PA-C, is a Boston-area physician assistant whose public Medicare profile notes that he graduated with honors in 2021 and practices with DRX UC Watertown PC. Public clinic records identify DRX UC Watertown PC as an urgent care clinic in Watertown, Massachusetts.
Full Record
- NPI
- 1851043772
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Jacob
- Middle Name
- R
- Name Prefix
- Mr.
- Credential
- PA-C
- Mailing Street Address
- 27 Park RD # 2
- Mailing City
- Belmont
- Mailing State
- MA
- Mailing ZIP Code
- 02478-3626
- Mailing Country
- US
- Mailing Phone
- (802) 355-3752
- Practice Street Address
- 800 Washington St
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02111-1552
- Practice Country
- US
- Practice Phone
- (617) 636-5000
- Enumeration Date
- January 21, 2022
- Last Updated
- January 21, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 21, 2022
- Taxonomies
- Physician Assistant (363A00000X)