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

Ryan Mark Smith, PA

Individual provider Physician Assistant · NPI 1700164555

Ryan Mark Smith, PA is a Physician Assistant in Fort Worth, Texas. Qualified in 2011, 15 years ago. Practices with Radiology Associates of North Texas PA, a 341-clinician group. Licensed in Texas.

Years since qualifying
15
Licensed in
TX
In the registry since
2011
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

815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone: (817) 321-0387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA07494 (TX)

Record details

NPI number1700164555
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 27, 2011
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026
Mailing address1320 S University Dr Ste 500, Fort Worth, TX 76107-5732

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Radiology Associates Of North Texas Pa — 341 clinicians
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

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