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

Jay S Smitherman, MD

Individual provider Internal Medicine Physician · NPI 1225028053

Jay S Smitherman, MD is an Internal Medicine in Lacey, Washington. Graduated from Baylor College of Medicine in 2002, 24 years ago. Practices with Providence Health and Services Washington, a 480-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
24
Trained at
Baylor College of Medicine
Licensed in
WA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2555 Marvin Rd NE Pmg SW Wa Hawks Prairie Im
Lacey, WA 98516-3138
Phone: (360) 923-4600
Fax: (360) 923-4663
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD60003286 (WA)

Record details

NPI number1225028053
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021
Mailing addressPo Box 3360, Portland, OR 97208-3360

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Providence Health And Services Washington — 480 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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