| Dr Jonathan Mark Smith, DPM | |
|
145 S 2nd St, Decatur, IN 46733-1664 | |
| (260) 724-7179 | |
| (260) 724-8532 |
| Full Name | Dr Jonathan Mark Smith |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 145 S 2nd St, Decatur, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538103403 | NPI | - | NPPES |
| 100359030 | Medicaid | IN | |
| 480024190 | Other | IN | RAIL ROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 07000685 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Mark Smith, DPM 145 S 2nd St, Po Box 575, Decatur, IN 46733-1664 Ph: (260) 724-7179 | Dr Jonathan Mark Smith, DPM 145 S 2nd St, Decatur, IN 46733-1664 Ph: (260) 724-7179 |
Foot And Ankle Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 145 S 2nd St, Decatur, IN 46733 Phone: 260-407-8000 Fax: 260-407-8004 | |
Joy Davis Kannookaden, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1100 Mercer Ave, Decatur, IN 46733 Phone: 260-724-2145 |