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

Jordan Mackenzie Smith, PA

Individual provider Physician Assistant · NPI 1598367682

Jordan Mackenzie Smith, PA is a Physician Assistant in Monroe, Ohio. Qualified in 2020, 6 years ago. Practices with Radiology Associates of Northern Kentucky PLLC, a 56-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

262 N Main St
Monroe, OH 45050-1236
Phone: (513) 461-2273
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.006767 (OH)
Physician Assistant Taxonomy 363A00000X (OH)

Record details

NPI number1598367682
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedNovember 12, 2020
Last updated in NPPESDecember 15, 2020
Certification dateDecember 15, 2020
Mailing address200 Pike St, Reading, OH 45215-3226

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Radiology Associates Of Northern Kentucky Pllc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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