TRAVIS J SMITH (NPI# 1376810689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376810689 |
| Entity Type | Individual |
| Full Name | TRAVIS J SMITH |
| Credential | PA-C |
| Practice Address |
150 S 12th St Phoenix AZ 85034-2301 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 6024955797 |
| Practice Fax Number | 6025341290 |
| Mailing Telephone | 2083027620 |
| Mailing Fax Number | 2083027615 |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2019-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-7035 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA-954 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467931287 | Travis Dean Smith | Contractor | 443 Grover Ln, Jamestown, TN 38556-5568 | 2018-08-13 |
| 1821591314 | Travis Smith | Hearing Instrument Specialist | 1950 Deyerle Ave Ste A, Harrisonburg, VA 22801-5423 | 2018-03-12 |
| 1487104139 | Travis Smith | Specialist/Technologist | 313 S 11th St, Bismarck, ND 58504-5621 | 2016-10-06 |
| 1538599006 | Travis Mark Smith | Social Worker | 1800 W Big Beaver Rd Ste 150, Troy, MI 48084-3535 | 2013-11-20 |
| 1245864958 | Travis Dale Smith | Counselor | 2255 W Northern Ave, Phoenix, AZ 85021-4936 | 2020-03-03 |
| 1477184869 | Travis Charles Smith | Physical Therapy Assistant | 420 Jett Dr, Jackson, KY 41339-9621 | 2020-02-04 |
| 1497222533 | Travis L Smith | Case Manager/Care Coordinator | 220 S Main St, Kendallville, IN 46755-1718 | 2018-10-26 |
| 1629544481 | Travis Nathan Smith | Massage Therapist | 216 E Chatham St Ste 110, Cary, NC 27511-3495 | 2018-10-19 |
| 1174015408 | Travis John Smith | Student in an Organized Health Care Education/Training Program | 500 University Dr, Hershey, PA 17033-2360 | 2018-06-01 |
| 1336501675 | Travis Smith | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept. of Neurology, Albany, NY 12208-3412 | 2016-03-25 |
| Street Address |
150 S 12TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85034-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902846504 | Patrick L Kelley | Physician Assistant | 150 S 12th St, Phoenix, AZ 85034-2301 | 2006-06-08 |
| 1275937765 | Kimberly M Donaldson | Physician Assistant | 150 S 12th St, Phoenix, AZ 85034-2301 | 2014-10-13 |
| 1982781571 | City of Phoenix Arizona | Emergency Medical Technician, Basic | 150 S 12th St, Phoenix, AZ 85034-2301 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093208340 | Curtis James Bierscheid | Physical Therapist | 1828 E Sky Harbor Circle North, Building 2, Suite 150, Phoenix, AZ 85034 | 2018-06-12 |
| 1437654969 | Genoa Healthcare, LLC | Pharmacy | 1035 E Jefferson St Ste P1, Phoenix, AZ 85034 | 2018-03-27 |
| 1659871697 | Us Careways-phx | Clinic/Center | 3800 E Sky Harbor Blvd, Phoenix, AZ 85034 | 2018-02-16 |
| 1053854638 | Josiah Nnadozie Nwaokwa | Nurse Practitioner | 1035 E Jefferson Street, La Frontera -empact Spc, Phoenix, AZ 85034 | 2016-11-30 |
| 1568869915 | Lacee Johnson | Speech-Language Pathologist | 5025 E Washington Street, Suite 212, Phoenix, AZ 85034 | 2014-12-01 |
| 1679974406 | Jagdeep Bains | Pharmacist | 5324 E Washington St, #a, Phoenix, AZ 85034 | 2014-09-11 |
| 1275885030 | Nancy Louise Brewer | Nurse Practitioner | 3800 E Sky Harbor Blvd Fl T4, Phoenix, AZ 85034 | 2012-10-03 |
| 1386928414 | The Facts of Life Grouphome, Inc | Community/Behavioral Health | 1122 E. Buckeye Road, Phoenix, AZ 85034 | 2011-10-07 |
| 1649559832 | Us Medgroup Pa | Clinic/Center | 901 East Jefferson St, Phoenix, AZ 85034 | 2011-08-05 |
| 1689979106 | Latanya King | Counselor | 1122 East Buckeye Road, Suite B-1, Phoenix, AZ 85034 | 2011-01-13 |
| Find all providers in zip 85034 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456585 | Chelsea Lee Townsend | Physician Assistant | 6823 S 9th Ave, Phoenix, AZ 85041-6752 | 2020-10-28 |
| 1972100949 | Amanda Alcantar | Physician Assistant | 8822 W Minnezona Ave, Phoenix, AZ 85037-1499 | 2020-10-02 |
| 1700483898 | Athena Marie Arbuckle | Physician Assistant | 3815 E Bell Rd Ste 3600, Phoenix, AZ 85032-2166 | 2020-10-02 |
| 1356957062 | Kylee Ann Lattomus | Physician Assistant | 26008 N 47th Dr, Phoenix, AZ 85083-1681 | 2020-09-17 |
| 1841801768 | Pfai Assist, Pllc | Physician Assistant | 10645 N Tatum Blvd Ste 200-556, Phoenix, AZ 85028-3068 | 2020-08-13 |
| 1285242479 | Jacob Molina | Physician Assistant | 15820 N 21st Dr, Phoenix, AZ 85023-7268 | 2020-07-14 |
| 1649898602 | Rivi Rose Sacks | Physician Assistant | 776 E Circle Rd, Phoenix, AZ 85020-4142 | 2020-07-07 |
| 1942828876 | Taylor Leblanc | Physician Assistant | 2150 W Alameda Rd Unit 1343, Phoenix, AZ 85085-1941 | 2020-07-07 |
| 1730707746 | Emily Jane Foley | Physician Assistant | 4650 N Central Ave Unit 241, Phoenix, AZ 85012-1076 | 2020-07-07 |
| 1841815230 | Alyssa Nicole Bruns | Physician Assistant | 4217 E Altadena Ave, Phoenix, AZ 85028-2232 | 2020-06-10 |
| Find all providers in PHOENIX | ||||
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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.