National Provider Identifier

Jared M Smith, M.D.

Jared M Smith, M.D. is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician in Horseheads, NY and a listed phone number of (607) 795-1666.

NPI 1871932533Horseheads, NYOrthopaedic Surgery Physician

Profile Overview

NPI
1871932533
Provider Type
Individual
Primary Specialty
Orthopaedic Surgery Physician
Enumeration Date
June 17, 2013
Last Updated
December 01, 2020

Practice Location

  • 100 John Roemmelt Dr Ste 102
  • Horseheads, NY 14845-8302

Phone: (607) 795-1666

Mailing Address

  • 571 Saint Josephs Blvd Fl 2
  • Elmira, NY 14901-3230

Specialties

  • Orthopaedic Surgery Physician (207X00000X)
  • Orthopaedic Surgery Physician (207X00000X)
  • Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X)
Full Record
NPI
1871932533
Entity Type
Individual
Last Name
Smith
First Name
Jared
Middle Name
M
Credential
M.D.
Mailing Street Address
571 Saint Josephs Blvd Fl 2
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3230
Mailing Country
US
Mailing Phone
(607) 271-2050
Mailing Fax
(607) 873-1244
Practice Street Address
100 John Roemmelt Dr Ste 102
Practice City
Horseheads
Practice State
NY
Practice ZIP Code
14845-8302
Practice Country
US
Practice Phone
(607) 795-1666
Practice Fax
(607) 796-0839
Enumeration Date
June 17, 2013
Last Updated
December 01, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
December 01, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Orthopaedic Surgery Physician (207X00000X), Orthopaedic Surgery Physician (207X00000X), Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X)
Other Identifiers
103666997 (PA), 05595139 (NY)