J SCOTT SMITH MD PA (NPI# 1154624195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154624195 |
| Entity Type | Organization |
| Organization Name | J SCOTT SMITH MD PA |
| Practice Address |
907 Eureka St Ste B Weatherford TX 76086-5880 |
| Practice Telephone | 8175994901 |
| Practice Fax Number | 8175994902 |
| Mailing Telephone | 8175994901 |
| Mailing Fax Number | 8175994902 |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |
| Authorized Official Name | MRS. BETHANY L MURPHY (BILLING MANAGER) |
| Authorized Official Telephone | 8175989328 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | K3476 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 8AN010 | 01 |
| Street Address |
907 EUREKA ST STE B |
| City | WEATHERFORD |
| State | TX |
| Zip Code | 76086-5880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376542142 | Harold R. Hinton | Nurse Anesthetist, Certified Registered | 907 Eureka St Ste B, Weatherford, TX 76086-5880 | 2005-07-14 |
| 1275176117 | Alyssa Robyn Wheeler | Pain Medicine | 907 Eureka St Ste B, Weatherford, TX 76086-5880 | 2019-10-23 |
| 1376013771 | Jeffrey Lee Martz | Anesthesiology | 907 Eureka St Ste B, Weatherford, TX 76086-5880 | 2018-11-28 |
| 1982092102 | Lone Star Pain Medicine Pllc | Pharmacy | 907 Eureka St Ste B, Weatherford, TX 76086-5880 | 2014-12-23 |
| 1821355868 | Michael Joe Balderamos | Anesthesiology | 907 Eureka St Ste B, Weatherford, TX 76086-5880 | 2012-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434810 | Beverly Diana Blair | Licensed Vocational Nurse | 870 Columbia Drive, Weatherford, Weatherford, TX 76086 | 2020-07-20 |
| 1275027385 | Star Family Medicine Pllc | Family Medicine | 933 Hilltop Dr Ste 100, Weatherford, TX 76086 | 2018-06-21 |
| 1174011324 | Anuj Yogesh Vyas | Student in an Organized Health Care Education/Training Program | Medical City Weatherford 713 E. Anderson, Weatherford, TX 76086 | 2018-04-24 |
| 1003321068 | Kleven Chiropractic, LLC | Chiropractor | 925 Santa Fe Drive, Suite #111, Weatherford, TX 76086 | 2017-12-12 |
| 1417471467 | Weatherford Health Services, LLC | General Acute Care Hospital | 713 East Anderson Street, Weatherford, TX 76086 | 2017-08-01 |
| 1710401021 | Kyle Evan Meason | Dentist | 2035 Fort Worth Hwy Ste 600, Weatherford, TX 76086 | 2017-07-28 |
| 1457898520 | Apmd LLC | Clinic/Center | 110 W I-20 Frontage Rd, Suite 130, Weatherford, TX 76086 | 2017-01-26 |
| 1861934887 | Laura Neel | Occupational Therapist | 250 Sante Fe Dr, Weatherford, TX 76086 | 2016-11-08 |
| 1588022040 | Heather Goddard | Nurse Practitioner | 920 Sante Fe Drive, Weatherford, TX 76086 | 2016-01-29 |
| 1689049413 | The Dermatology Spot Pllc | Dermatology | 1841 Martin Dr, 200, Weatherford, TX 76086 | 2015-12-04 |
| Find all providers in zip 76086 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235483603 | Lee Patrick Enright | Specialist | 3710 Cliff View Loop, Weatherford, TX 76087-2222 | 2012-11-06 |
| 1669660353 | Kenneth Gail Daniel | Specialist | 515 N Daniel St, Weatherford, OK 73096-4417 | 2007-10-09 |
| 1619049483 | Sherryl L Corder | Specialist | 907 East Eureka, Suite B, Weatherford, TX 76086 | 2006-11-15 |
| 1033218920 | Bruce Nelson Epker | Specialist | 1020 Ft. Worth Hwy, Suite 800, Weatherford, TX 76086 | 2006-09-21 |
| 1194748053 | Timothy L Huggins, M.d., P.a. | Specialist | 1212 Clear Lake Rd, Suite 100, Weatherford, TX 76086-5802 | 2006-07-25 |
| 1003831934 | Thomas C. Binzer M.d.,p.a. | Specialist | 907 Eureka, Suite A, Weatherford, TX 76086 | 2006-07-13 |
| 1821366543 | Matt Kenneth Fleming | Specialist | 1400 Lera, Weatherford, OK 73096-2629 | 2011-12-08 |
| 1437345642 | Ken Steve Eades | Specialist | 815 Santa Fe Dr, 100, Weatherford, TX 76086-6522 | 2007-09-20 |
| 1972668564 | Andrew Scott Walker | Specialist | 937 Hilltop Dr, Weatherford, TX 76086-5845 | 2006-12-26 |
| 1033281332 | Patricia K Davis | Specialist | 907 East Eureka Street, Suite B, Weatherford, TX 76086 | 2006-11-14 |
| Find all providers in WEATHERFORD | ||||
| City | WEATHERFORD |
| Zip Code | 76086 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.