CHERA M SMITH (NPI# 1649708637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649708637 |
Entity Type | Individual |
Full Name | CHERA M SMITH |
Credential | PA-C |
Practice Address |
5450 Clearfork Main St Ste 300 Fort Worth TX 76109-3514 |
Practice Telephone | 8173341400 |
Practice Fax Number | 8173341410 |
Mailing Telephone | 8173341400 |
Mailing Fax Number | 8173341410 |
Enumeration Date | 2017-06-02 |
Last Update Date | 2019-11-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA11379 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 377863101 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2808 Ranch House Dr E Apt 313, Fort Worth, TX 761160736 | (936) 203-8516 | |
5450 Clearfork Main St Ste 430, Fort Worth, TX 761093559 | (817) 334-1400 |
Street Address |
5450 CLEARFORK MAIN ST STE 300 |
City | FORT WORTH |
State | TX |
Zip Code | 76109-3514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629078290 | James Steven Childers | Internal Medicine | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3514 | 2005-07-26 |
1639704539 | Robert A. Martinez | Nurse Practitioner | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3514 | 2020-03-11 |
1285149385 | Kelsey Becker Adams | Nurse Practitioner | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3514 | 2017-12-11 |
1326587452 | Michelle Blanchard | Nurse Practitioner | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3559 | 2017-02-22 |
1760927040 | Samantha Germaine Moore | Nurse Practitioner | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3559 | 2016-12-22 |
1811447196 | Kathrine Kimberly Beaty | Nurse Practitioner | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3559 | 2016-10-10 |
1548536279 | Rachel Anne Gonzales | Physician Assistant | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3559 | 2012-03-27 |
1154568038 | Elizabeth Lee Price | Physician Assistant | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3514 | 2009-01-14 |
1417152000 | Jennifer Thompson Arnouville | Family Medicine | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3559 | 2007-06-15 |
1023227063 | Samuel V. Davila | Internal Medicine | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3559 | 2007-05-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
Find all providers in zip 76109 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598314742 | Tan Ngo | Physician Assistant | 3025 N Tarrant Pkwy Ste 140, Fort Worth, TX 76177-8625 | 2019-09-10 |
1699321240 | Hannah Bram | Physician Assistant | 1400 8th Ave Fl 1, Fort Worth, TX 76104-4110 | 2019-08-09 |
1942654462 | Damon A Cates | Physician Assistant | Fmc Carswell, J St Bldg 3000, Fort Worth, TX 76127 | 2016-04-21 |
1790159721 | Victoria Constant | Physician Assistant | 3701 Vision Dr Ste 101, Fort Worth, TX 76109-1184 | 2015-11-13 |
1962828871 | Erika Zuniga Martinez | Physician Assistant | 800 7th Ave, Fort Worth, TX 76104-2704 | 2014-03-16 |
1336562883 | Elizabeth Suzanne Widmer | Physician Assistant | 12469 Timberland Blvd Ste 501, Fort Worth, TX 76244-5216 | 2014-02-03 |
1225475536 | Female Health Associates of North Texas, LLC | Physician Assistant | 1327 Hemphill St, Suit 100, Fort Worth, TX 76104-4735 | 2013-05-28 |
1427255330 | Alhaji Mahama Mumuni | Physician Assistant | 3305 Miller Ave Ste B, Fort Worth, TX 76119-1956 | 2007-07-03 |
1427144518 | Glenda Rose Hagman | Physician Assistant | 1400 S Main St Ste 406, Fort Worth, TX 76104-4913 | 2006-10-05 |
1073533725 | Michael Howard Johnson | Physician Assistant | 4504 Boat Club Rd Ste 800, Fort Worth, TX 76135-7002 | 2006-07-19 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76109 |
Please comment or provide details below to improve the information on CHERA M 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.