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

Jordan Smith, PA-C

Individual provider Medical Physician Assistant · NPI 1932507092

Jordan Smith, PA-C is a Medical Physician Assistant in Mentor, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

9500 Mentor Ave Ste 100
Mentor, OH 44060-8702
Phone: (440) 352-4880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 004178 (OH)

Record details

NPI number1932507092
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 5, 2014
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 2021
Mailing address197 Shoreland Cir, Willowick, OH 44095-4690

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