DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JUSTIN SMITH PA

MEDICARE: JUSTIN SMITH PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician Assistant

General Provider Information

NPI Number : 1639001407
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN SMITH PA
Provider Business Mailing Address
First Line : 32 DWIGHT RD
Second Line :
City : MARSHFIELD
State : MA
Zip : 02050-4402
Country : US
Telephone Number : 678-699-9520
Fax Number :
Provider Business Practice Location Address
First Line : 725 NORTH ST
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-4109
Country : US
Telephone Number : 413-447-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

Similar Medicare Providers

1548253685 — MRS. HEATHER LYNN DOHR CRNA, MSHS
Practice Location Address:
725 NORTH ST
PITTSFIELD, MA
01201-4109
Practice Phone: 413-395-7866
Practice Fax: 413-447-2889
1104819630 — ERIC S. KORENMAN M.D.
Practice Location Address:
725 NORTH ST
PITTSFIELD, MA
01201-4109
Practice Phone: 413-447-2439
Practice Fax: 413-447-2443
1659361293 — ALIDA HAYNER-BUCHAN MD
Practice Location Address:
725 NORTH ST
PITTSFIELD, MA
01201-4109
Practice Phone: 413-447-2569
Practice Fax:
1083604433 — DR. MEHERNOSH PHEROZE KHAN MD
Practice Location Address:
631B NORTH STREET
PITTSFIELD, MA
01201-4109
Practice Phone: 413-499-2054
Practice Fax: 413-445-9174
1477544534 — DAVID MICHAEL JONES MD
Practice Location Address:
725 NORTH ST
PITTSFIELD, MA
01201-4109
Practice Phone: 413-447-2569
Practice Fax:
1366423402 — NADA Y MAKKAOUI M.D.
Practice Location Address:
725 NORTH ST
PITTSFIELD, MA
01201-4109
Practice Phone: 413-447-2000
Practice Fax:

Directions to “ JUSTIN SMITH PA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.