MEDICARE: MR. RICHARD ANTHONY SMITH SR. PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA9101104	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588691901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD ANTHONY SMITH SR. PA-C

Provider Business Mailing Address
First Line	:	41106 STATE ROAD 64 E
Second Line	:
City	:	MYAKKA CITY
State	:	FL
Zip	:	34251-9355
Country	:	US
Telephone Number	:	941-322-8310
Fax Number	:

Provider Business Practice Location Address
First Line	:	41106 STATE ROAD 64 E
Second Line	:
City	:	MYAKKA CITY
State	:	FL
Zip	:	34251-9355
Country	:	US
Telephone Number	:	941-322-8310
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	05/20/2022

Similar Medicare Providers

1215290234 — MR. ROBERT BURKE RAETZ LPC
Practice Location Address:

923 HARBOR CT
TRAVERSE CITY, MI
49685-9355

Practice Phone: 231-645-8500
Practice Fax: 231-946-6638

1033720321 — JEANETTE FAY PELTOLA PLC,MA
Practice Location Address:

968 HARBOR CT
TRAVERSE CITY, MI
49685-9355

Practice Phone: 231-632-1370
Practice Fax:

1801534805 — PURMA BIOLOGICS, LLC
Practice Location Address:

801 SW 89TH ST STE A2
OKLAHOMA CITY, OK
73139-9355

Practice Phone: 405-900-5111
Practice Fax: 405-400-2024

1619960390 — ALAN JAY HELRICH MD
Practice Location Address:

27325 BRANDIFF RD
MYAKKA CITY, FL
34251-1905

Practice Phone: 941-209-2821
Practice Fax:

1184696890 — ALICIA BEEBE NP
Practice Location Address:

13045 MJ RD
MYAKKA CITY, FL
34251-1278

Practice Phone: 860-995-0458
Practice Fax:

1245291681 — HELEN LOUISE PALMER LMHC
Practice Location Address:

5118 WAUCHULA RD
MYAKKA CITY, FL
34251-9217

Practice Phone: 941-227-3045
Practice Fax:

Directions to “ MR. RICHARD ANTHONY SMITH SR. PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.