George R Smith Jr. (NPI# 1669491015, PAC ID# 6204806599) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1669491015 |
| PAC ID by PECOS | 6204806599 |
| Professional Enrollment ID | I20040726001065 |
| Full Name | George R Smith Jr. |
| Organization Legal Name | PHYNET INC |
| Address |
307 W Upshur Ave Gladewater TX 75647-2121 |
| Phone Number | 9038452159 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8527038298 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450032 | GOOD SHEPHERD MEDICAL CENTER MARSHALL |
| 450702 | LONGVIEW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 307 W Upshur Ave, Gladewater, TX 75647-2121 | 9038452159 | PHYNET INC |
| 800 N Hill St, Tatum, TX 75691-1740 | 9039476300 | PHYNET INC |
| Organization Legal Name | PHYNET INC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori Ann Fried | Nurse Practitioner | Phynet Inc | 3211 N 4th St A, Longview, TX 75605-5145 |
| Tessa J Barton | Nurse Practitioner | Phynet Inc | 2019 A S Henderson Blvd, Suite 4, Kilgore, TX 75662-3565 |
| Heather R Grindle | Nurse Practitioner | Phynet Inc | 307 W Upshur Ave, Gladewater, TX 75647-2121 |
| Terry H. Elders | Nurse Practitioner | Phynet Inc | 402 N Kaufman St, Linden, TX 75563-5234 |
| Tracy C Webster | Nurse Practitioner | Phynet Inc | 219 N Polk St, Jefferson, TX 75657-2131 |
| Robert C Mcdaniel | Family Medicine | Phynet Inc | 307 W Upshur Ave, Gladewater, TX 75647-2121 |
| Mary A Corley | Nurse Practitioner | Phynet Inc | 219 N Polk St, Jefferson, TX 75657-2131 |
| Cassandra L Ford | Nurse Practitioner | Phynet Inc | 3211 N 4th St A, Longview, TX 75605-5145 |
| Juan Raul Zapata | Family Medicine | Phynet Inc | 307 W Upshur Ave, Gladewater, TX 75647-2121 |
| Laura L Brown | Nurse Practitioner | Phynet Inc | 3211 N 4th St A, Longview, TX 75605-5145 |
| Street Address |
307 W UPSHUR AVE |
| City | GLADEWATER |
| State | TX |
| Zip | 75647-2121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather R Grindle | Nurse Practitioner | Phynet Inc | 307 W Upshur Ave, Gladewater, TX 75647-2121 |
| Robert C Mcdaniel | Family Medicine | Phynet Inc | 307 W Upshur Ave, Gladewater, TX 75647-2121 |
| Juan Raul Zapata | Family Medicine | Phynet Inc | 307 W Upshur Ave, Gladewater, TX 75647-2121 |
| Charles Albert Moxin | Physician Assistant | Phynet Inc | 307 W Upshur Ave, Gladewater, TX 75647-2121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph G Carver | Family Medicine | Trinity Clinic | 1600 Broadway Ave, Gladewater, TX 75647-5040 |
| Yogesh G Pai | Pediatric Medicine | Gs Physician Services | 1600 Broadway Ave, Gladewater, TX 75647-5040 |
| William J Hollas | Family Practice | Gs Physician Services | 1600 Broadway Ave, Gladewater, TX 75647-5040 |
| City | GLADEWATER |
| Zip Code | 75647 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GLADEWATER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on George R Smith Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.