Individual
DR. JASON WILLIAM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 PARNASSUS AVE FL 5, SAN FRANCISCO, CA 94143-2202
(415) 353-1606
Mailing address
400 PARNASSUS AVE FL 5, SAN FRANCISCO, CA 94143-2202
(415) 353-1606
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
70780
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
70780
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A117649
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD60286469
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427218981
—
WA
01
—
8911276
MEDICARE PIN
WA
Enumeration date
06/09/2008
Last updated
10/13/2022
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