RUSSELL R SMITH (NPI# 1205092327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205092327 |
| Entity Type | Individual |
| Full Name | RUSSELL R SMITH |
| Credential | PA |
| Practice Address |
6301 Harris Pkwy Ste 200 Fort Worth TX 76132-4265 |
| Practice Telephone | 8174333450 |
| Practice Fax Number | 8172946429 |
| Mailing Telephone | 8174333450 |
| Mailing Fax Number | 8172946429 |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2017-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA05791 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 283600901 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639611767 | Russell Smith | Nurse Practitioner | 1230 Bay Dale Dr, Arnold, MD 21012-2325 | 2016-11-07 |
| 1184174229 | Russell Smith | Pharmacist | 2114 Chatalet Ln Apt L, Pueblo, CO 81005-4602 | 2016-10-13 |
| 1346594439 | Russell Alan Smith | Specialist/Technologist, Other | 1819 Jay Ell Dr # 1, Richardson, TX 75081-1837 | 2012-10-29 |
| 1912236241 | Russell Charles Smith | Dentist | 9131 Parkway East, Birmingham, AL 35206-1552 | 2009-12-16 |
| 1083840011 | Russell E Smith | Pharmacist | 533 N Main St, Troutman, NC 28166-8526 | 2009-06-04 |
| 1962666529 | Russell Smith | Dentist | 6415 Business Park Loop Rd Ste J, Park City, UT 84098-6218 | 2008-07-14 |
| 1255547386 | Russell John Smith | Dentist | 7209 265th St Nw, Suite 201, Stanwood, WA 98292-6292 | 2007-05-15 |
| 1467595025 | Russell Lynn Smith | Specialist | 8330 E Quincy Ave Apt D212, Denver, CO 80237-2456 | 2007-02-14 |
| 1841377553 | Russell Gene Smith | Physical Therapy Assistant | 100 Healthy Way # 1110, Anderson, SC 29621-2067 | 2006-11-01 |
| 1477637817 | Russell R. Smith | Internal Medicine | 1005 Union School Rd, Gallatin, TN 37066-2084 | 2006-10-24 |
| Street Address |
6301 HARRIS PKWY STE 200 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76132-4265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155942 | Steven B Singleton | Specialist | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132-4265 | 2005-06-21 |
| 1043878242 | Jillian Whelan | Physician Assistant | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132-4265 | 2019-06-03 |
| 1326389438 | Gary James Gostnell | Physician Assistant | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132-4249 | 2013-03-14 |
| 1528324118 | Carson L Fairbanks | Orthopaedic Surgery | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132 | 2012-04-09 |
| 1639435266 | Elizabeth Mirdza Batterton | Family Medicine | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132-4265 | 2012-04-09 |
| 1417051889 | Glen Thomas Garlington | Nurse Practitioner | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132-4265 | 2006-09-07 |
| 1750306502 | Mark W Wylie | Orthopaedic Surgery | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132-4249 | 2006-07-13 |
| 1225060155 | James M Bothwell | Orthopaedic Surgery | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132-4249 | 2006-07-07 |
| 1932176013 | Troy M. Duley | Physician Assistant | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132-4249 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1568029320 | Ty Desilets | Physical Therapist | 5959 Bryant Irvin Rd Suite 100, Fort Worth, TX 76132 | 2019-05-28 |
| 1750844049 | Fort Worth Surgical Center Lp | Clinic/Center | 6949 Bryant Irvin Road, Fort Worth, TX 76132 | 2019-04-12 |
| 1063971232 | Symetria Health of Texas, LLC | Clinic/Center | 7299 Hawkins View Drive, Fort Worth, TX 76132 | 2019-03-18 |
| 1275015612 | Falguni Udayan Patel | Nurse Practitioner | 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 | 2018-09-02 |
| 1881110161 | Because De Cares | Private Vehicle | 7101 Bryant Irving Road #33104, Fort Worth, TX 76132 | 2017-08-17 |
| 1871045708 | Cns - F.w., LLC | Clinic/Center | 6940 Harris Parkway, Fort Worth, TX 76132 | 2016-10-26 |
| 1790233294 | Prime Diagnostic Imaging of Fort Worth, LLC | Clinic/Center | 6491 Southwest Blvd., Benbrook, TX 76132 | 2016-09-14 |
| Find all providers in zip 76132 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447789896 | Texas Surgical Ally | Physician Assistant | 6677 Friendsway Dr, Fort Worth, TX 76137 | 2017-06-08 |
| 1831647734 | Frisco Neuro Collaborations, Pllc | Physician Assistant | 6387 Camp Bowie Blvd Ste B-640, Fort Worth, TX 76116 | 2016-09-20 |
| 1205299138 | Trasimeno, LLC | Physician Assistant | 9800 Sinclair St, Fort Worth, TX 76244-5890 | 2016-03-29 |
| 1770974727 | Melvin Johnson | Physician Assistant | 1016 Grand National Blvd, Fort Worth, TX 76179-2336 | 2015-02-12 |
| 1780924415 | Erica Valenzuela | Physician Assistant | 521 Darlington Trl, Fort Worth, TX 76131-3541 | 2013-02-16 |
| 1871746230 | Ansurio Cardona Jr. | Physician Assistant | 11800 Horseshoe Ridge Dr, Fort Worth, TX 76244-4892 | 2008-10-29 |
| 1548481781 | Henry Lee Collins | Physician Assistant | 2713 Clovermeadow Dr, Fort Worth, TX 76123-2107 | 2007-05-02 |
| 1376583906 | Stephanie Lynn Curtis | Physician Assistant | 800 5th Ave Ste 300, Fort Worth, TX 76104-7303 | 2006-06-08 |
| 1992774103 | Sarah Rodriguez | Physician Assistant | 3637 Bellaire Dr S, Fort Worth, TX 76109-2135 | 2006-03-17 |
| 1811597321 | Kathryn Varano | Physician Assistant | 1250 8th Ave, Fort Worth, TX 76104-4124 | 2020-10-26 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76132 |
Please comment or provide details below to improve the information on RUSSELL R SMITH.
| 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.