Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justin Thomas Smedes-Hepler, PA-C

Individual provider Physician Assistant · NPI 1679130462

Justin Thomas Smedes-Hepler, PA-C is a Physician Assistant in West Bloomfield, Michigan. Qualified in 2019, 7 years ago. Practices with Independent Observation Physicians PLLC, a 136-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2300 Haggerty Rd Ste 1010
West Bloomfield, MI 48323-2185
Phone: (248) 926-9111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009180 (MI)

Record details

NPI number1679130462
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 28, 2019
Last updated in NPPESMay 28, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Independent Observation Physicians Pllc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in West Bloomfield