IndividualActive
Jon Smucker, MD
NPI 1396727020 · Vascular Surgery Physician · Goshen, IN
Provider details
- NPI number
- 1396727020
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 26832 (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 Marilyn Ave
Suite 4
Goshen, IN 46526-4800
Phone: (574) 533-2769
Fax: (574) 534-6822
Approximate (ZIP-level) locationGet directions
Mailing address
101 Marilyn Ave
Goshen, IN 46526-4800
Registry dates
- Enumerated
- 2005-11-17
- Last updated
- 2008-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.