Gabriel Reed Smith, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9106181 Issued in FL

Practice address

1834 NE Hancock St
Apartment 4
Portland, OR 97212-4590

Phone

(503) 209-4877

NPI assigned

Oct 19, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inpatient Consultants of Florida, Inc

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1396795597

  Physician Assistant

  Medicare reassignment NPD
• Ca Pacs 2 Medical Group Inc

  • Hospitalist Physician
  • San Leandro, CA
  • NPI 1801372669

  FL

  Medicare reassignment
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958

  FL

  Medicare reassignment
• Florida Post Acute Medical Services 1 PA

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1255862439
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1306121512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 NE HANCOCK ST",
            "address_2": "APARTMENT 4",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124590",
            "telephone_number": "503-209-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 NE HANCOCK ST",
            "address_2": "APARTMENT 4",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124590",
            "telephone_number": "503-209-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GABRIEL",
        "middle_name": "REED",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9106181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Nicole Smith, LMT
• Evan Conway Smith
• Fabian Smith, MSW
• Felicia Maria Smith
• Felicity Angela Smith
• Gail Sandra Smith, RPH
• Garrett Austin Smith, CRM
• Gary Mac Smith, M.D.
• Gillian M Smith
• Gregory Thomas Smith, PHD

• Physician Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.