Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tanner Ray Smith, DO

Individual provider Family Medicine Physician · NPI 1548953318

Dr. Tanner Ray Smith, DO is a Family Practice in Nazareth, Pennsylvania. Graduated from Philadelphia College of Osteopathic Medicine in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Pennsylvania.

Years since qualifying
3
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
PA
In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4059 Jandy Blvd Ste 103
Nazareth, PA 18064-8819
Phone: (484) 503-6450
Fax: (833) 820-1004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OT022399 (PA)

Record details

NPI number1548953318
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 30, 2023
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address4059 Jandy Blvd Ste 103, Nazareth, PA 18064-8819

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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