CHRISTOPHER SHANE SMITH (NPI# 1538255476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538255476 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER SHANE SMITH |
| Other Name | C SHANE SMITH |
| Credential | PA-C |
| Practice Address |
5147 N 9th Ave Ste 311 Pensacola FL 32504-8770 |
| Mailing Address |
4828 N Davis Hwy Pensacola FL 32503-2341 |
| Practice Telephone | 8504772597 |
| Practice Fax Number | 8504787941 |
| Mailing Telephone | 8504778109 |
| Mailing Fax Number | 8504782412 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9102127 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 970030058 | 01 | |
| AL | BCBS OF ALABAMA | 059076677 | 01 |
| FL | 291473500 | 05 | |
| AL | 009913575 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173934 | Christopher Smith | Orthotist | 315 Jefferson St Ne, Olympia, WA 98501-1123 | 2020-10-27 |
| 1003421512 | Christopher M Smith | Technician | 151 E Piedmont St, Keyser, WV 26726-3136 | 2020-09-11 |
| 1851918197 | Christopher Smith | Massage Therapist | 5125 W Broad St, Columbus, OH 43228-1689 | 2020-07-02 |
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1972136596 | Christopher Nigel Smith | Registered Nurse | 5880 Sw 74th Ter Apt T6a, South Miami, FL 33143-5263 | 2020-02-21 |
| 1376194274 | Christopher Lee Roy Smith | Military Health Care Provider | Uss San Juan (ssn 751), Groton, CT 06349 | 2019-09-23 |
| 1104383835 | Christopher Smith | Occupational Therapy Assistant | 1714 Fm 2496 W, Mt Enterprise, TX 75681-5035 | 2019-02-28 |
| 1881199909 | Christopher Anthony Smith | Student in an Organized Health Care Education/Training Program | 5660 Woodgate Dr, Matteson, IL 60443 | 2018-03-29 |
| 1144724477 | Christopher Morgan Smith | Student in an Organized Health Care Education/Training Program | 1542 Tulane Ave Rm 762, New Orleans, LA 70112-2865 | 2018-03-21 |
| 1245733484 | Christopher C Smith | Registered Nurse | 2451 Westwood Dr, Rochester Hills, MI 48306 | 2018-03-14 |
| Street Address |
5147 N 9TH AVE STE 311 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265412654 | Richard Robert Dobhan | Internal Medicine | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-01-20 |
| 1194350686 | Todd Edward Leroy | Nurse Practitioner | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2020-03-05 |
| 1790065035 | Mimi Ann Kingery | Physician Assistant | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2011-08-18 |
| 1386892289 | Cathy Lee Aaron | Physician Assistant | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2008-09-04 |
| 1558457499 | Rachel G Thompson | Physician Assistant | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-05 |
| 1790871895 | Kendral Wayne Adkisson | Internal Medicine | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-05 |
| 1255427175 | Roger M Orth | Internal Medicine | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-05 |
| 1073609483 | Daniel S. Finelli | Internal Medicine | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-04 |
| 1831284405 | Paul Douglas Brown | Nurse Practitioner | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-03 |
| 1841383304 | Fares S. Hakim | Internal Medicine | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| 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 |
|---|---|---|---|---|
| 1518593326 | Shelby Jane Carson | Physician Assistant | 8333 N Davis Hwy Fl 3, Pensacola, FL 32514-6050 | 2020-03-13 |
| 1477194934 | Alyssa Brooke Mayer | Physician Assistant | 4501 N Davis Hwy Ste A, Pensacola, FL 32503-2724 | 2019-10-04 |
| 1720638448 | Frances Ponsuwan Bell | Physician Assistant | 5151 N 9th Ave # 200, Pensacola, FL 32504-8721 | 2019-09-14 |
| 1881242022 | Kendall Hoover | Physician Assistant | 190 E Intendencia St # A-28, Pensacola, FL 32502-5806 | 2019-08-30 |
| 1477047181 | Taylor Elaine Morrison | Physician Assistant | 4901 Marketplace Road, Pensacola, FL 32504-8986 | 2018-06-15 |
| 1245771591 | Tina Rayfield | Physician Assistant | 12480 Seratine Dr, Pensacola, FL 32506-9601 | 2017-03-19 |
| 1891166344 | Kevin Lacz | Physician Assistant | 100 S Baylen St, Suite A, Pensacola, FL 32502-5825 | 2015-10-09 |
| 1831448653 | Hillary H. Doussan | Physician Assistant | 8333 N. Davis Hwy, Pensacola, FL 32514-6050 | 2012-09-07 |
| 1891004560 | Lauren Andrea Treven | Physician Assistant | 3205 E Olive Rd, Apt 80, Pensacola, FL 32514-7239 | 2010-09-29 |
| 1285948703 | Sarah Grace Purdy | Physician Assistant | 5503 Admiral Doyle Rd, Pensacola, FL 32506-5353 | 2010-07-27 |
| Find all providers in PENSACOLA | ||||
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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.