IndividualActive
Jon Smucker, MD
NPI 1093918476 · Sports Medicine (Orthopaedic Surgery) Physician · Elkhart, IN
Provider details
- NPI number
- 1093918476
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 10167873A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2310 California Rd Ste a
Elkhart, IN 46514-1228
Phone: (574) 264-0791
Fax: (574) 262-5183
Approximate (ZIP-level) locationGet directions
Mailing address
2310 California Rd Ste a
Elkhart, IN 46514-1228
Registry dates
- Enumerated
- 2007-06-06
- Last updated
- 2018-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.