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

Jacob Smith

Individual provider Medical Physician Assistant · NPI 1457181968

Jacob Smith is a Physician Assistant in Tucson, Arizona. Qualified in 2024, 2 years ago. Practices with Banner-University Medical Group, a 1,071-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

2490 E River Rd Ste 150
Tucson, AZ 85718-6522
Phone: (520) 382-1084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1457181968
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 7, 2024
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Banner-University Medical Group — 1071 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Tucson