Kenneth R Smith (NPI# 1083275630, PAC ID# 4486980497) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083275630 |
| PAC ID by PECOS | 4486980497 |
| Professional Enrollment ID | I20190730000700 |
| Full Name | Kenneth R Smith |
| Organization Legal Name | PCCA TEXAS INTENSIVISTS, PLLC |
| Address |
1900 Pine St Abilene TX 79601-2432 |
| Phone Number | 8006552656 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7517290109 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450229 | HENDRICK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1900 Pine St, Abilene, TX 79601-2432 | 8006552656 | PCCA TEXAS INTENSIVISTS, PLLC |
| Organization Legal Name | PCCA TEXAS INTENSIVISTS, PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanette Wright | Nurse Practitioner | Pcca Texas Intensivists, Pllc | 1900 Pine St, Abilene, TX 79601-2432 |
| Christopher Steven Dehoux | Nurse Practitioner | Pcca Texas Intensivists, Pllc | 1900 Pine St, Abilene, TX 79601-2432 |
| Timothy Graham Zamulinski | Nurse Practitioner | Pcca Texas Intensivists, Pllc | 1900 Pine St, Abilene, TX 79601-2432 |
| Lee Boon Ang | Nurse Practitioner | Pcca Texas Intensivists, Pllc | 1900 Pine St, Abilene, TX 79601-2432 |
| Shane E Satterfield | Nurse Practitioner | Pcca Texas Intensivists, Pllc | 1900 Pine St, Abilene, TX 79601-2432 |
| Street Address |
1900 PINE ST |
| City | ABILENE |
| State | TX |
| Zip | 79601-2432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erica Anne Piehl | Certified Registered Nurse Anesthetist (crna) | Hendrick Anesthesia Network | 1900 Pine St, Abilene, TX 79601-2432 |
| Miles C Frazier | Certified Registered Nurse Anesthetist (crna) | Hendrick Anesthesia Network | 1900 Pine St, Abilene, TX 79601-2432 |
| Tina R Gray | Certified Registered Nurse Anesthetist (crna) | Hendrick Anesthesia Network | 1900 Pine St, Abilene, TX 79601-2432 |
| Justin Anders | Certified Registered Nurse Anesthetist (crna) | Hendrick Anesthesia Network | 1900 Pine St, Abilene, TX 79601-2432 |
| Jason C Bell | Endocrinology | Hendrick Provider Network | 1900 Pine St, Abilene, TX 79601-2432 |
| Elizabeth M Bement | Internal Medicine | Quantum Emergency Physicians Pa | 1900 Pine St, Abilene, TX 79601-2432 |
| Venkata K Amilineni | Diagnostic Radiology | Radiology Associates of Abilene Pa | 1900 Pine St, Abilene, TX 79601-2432 |
| Clark D Wiginton | Diagnostic Radiology | Radiology Associates of Abilene Pa | 1900 Pine St, Abilene, TX 79601-2432 |
| Tommie W Farrell | Hospice/palliative Care | Hendrick Medical Center | 1900 Pine St, Abilene, TX 79601-2432 |
| Shawn R Miller | Certified Registered Nurse Anesthetist (crna) | Hendrick Anesthesia Network | 1900 Pine St, Abilene, TX 79601-2432 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margery A Spivey | Certified Registered Nurse Anesthetist (crna) | Hendrick Anesthesia Network | 751 N, 18th, Abilene, TX 79601 |
| Christopher S Armstrong | Anesthesiology | Hendrick Anesthesia Network | 751 N, 18th, Abilene, TX 79601 |
| Priscilla Kortyna | Certified Registered Nurse Anesthetist (crna) | Hendrick Anesthesia Network | 751 N, 18th, Abilene, TX 79601 |
| Dennis Carter | Anesthesiology | Hendrick Anesthesia Network | 751 N, 18th, Abilene, TX 79601 |
| Troy G Gray | Certified Registered Nurse Anesthetist (crna) | Hendrick Anesthesia Network | 751 N, 18th, Abilene, TX 79601 |
| Jason Gollihar | Certified Registered Nurse Anesthetist (crna) | Hendrick Anesthesia Network | 751 N, 18th, Abilene, TX 79601 |
| Gerry Lawler | Anesthesiology | Hendrick Anesthesia Network | 751 N, Abilene, TX 79601 |
| Charlotte Strate | Certified Registered Nurse Anesthetist | Hendrick Anesthesia Network | 751 N, Abilene, TX 79601 |
| David A Lindley | Interventional Pain Management | Norman J Dozier Md Pllc | 2401 N Treadaway Blvd, Abilene, TX 79601-1953 |
| Amanda Brooke Hanslik | Certified Registered Nurse Anesthetist (crna) | Norman J Dozier Md Pllc | 2401 N Treadaway Blvd, Abilene, TX 79601-1953 |
| Find all physicians in zip 79601 | |||
| City | ABILENE |
| Zip Code | 79601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ABILENE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kenneth R Smith.
| 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.