Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Russell R Smith, PA

Individual provider Surgical Physician Assistant · NPI 1205092327

Russell R Smith, PA is a Physician Assistant in Fort Worth, Texas. Qualified in 2008, 18 years ago. Practices with Ortholonestar PLLC, a 415-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
18
Licensed in
TX
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5900 Altamesa Blvd Ste 100
Fort Worth, TX 76132-5475
Phone: (817) 854-9969
Fax: (817) 845-9965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 925 Hilltop Dr Ste 101, Weatherford, TX 76086-5890 — (817) 854-9969

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA05791 (TX)

Record details

NPI number1205092327
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 29, 2008
Last updated in NPPESMay 22, 2023
Certification dateApril 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Ortholonestar Pllc — 415 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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