Jordan Smith
Jordan Smith is a Family Practice in Hayward, Wisconsin. Qualified in 2020, 6 years ago. Practices with Medical Services, Inc, a 32-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 6
- Licensed in
- WI
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
11040 N State Rd 77Hayward, WI 54843
Phone: (715) 934-4910
Fax: (316) 665-6082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 82812-20 (WI) |
|---|---|
| Sports Medicine (Family Medicine) Physician | Taxonomy 207QS0010X · Licence 82812-20 (WI) |
Record details
| NPI number | 1346866357 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 25, 2020 |
| Last updated in NPPES | September 11, 2024 |
| Certification date | October 18, 2022 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Also practises | SPORTS MEDICINE |
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Medical Services, Inc — 32 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 7 on file with Medicare |