Individual provider Active NPI

Wade S Smith, PA

  • Surgical Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1386678456
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA04134 Issued in TX
Practice address
6301 Harris Pkwy Ste 300
Fort Worth, TX 76132-4266
Phone
(817) 877-3432
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA04134 TX Primary
Physician Assistant 363A00000X 163816 MT

Addresses

Primary practice location

6301 Harris Pkwy Ste 300
Fort Worth, TX 76132-4266

Mailing address

6301 Harris Pkwy Ste 300
Fort Worth, TX 76132-4266
Phone (817) 877-3432

Other practice location 1

350 Heritage Way Ste 1200
Kalispell, MT 59901-3160
Phone (406) 752-6784

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Direct Kalispell Regional Medical Center, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040903000078 TX Practitioner - Physician Assistant 5193791952 Reassigns benefits to 1 organization
I20260611002442 MT Practitioner - Physician Assistant 5193791952

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

10900 Founders Way
Fort Worth, TX 76244-5435

1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 684-2708

5450 Clearfork Main St
Suite 100
Fort Worth, TX 76109-3562
Phone (817) 433-3450

6301 Harris Pkwy
Suite 300
Fort Worth, TX 76132-4266
Phone (817) 877-3432

8440 Walnut Hill LN
Suite 800
Dallas, TX 75231-3825
Phone (214) 345-5999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
163816MTMDPhysician Assistant
PA04134TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Jan 1, 2009 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

5450 Clearfork Main St
Ste 100
Fort Worth, TX 76109
Phone (817) 433-3450

10900 Founders Way
Ste 201
Fort Worth, TX 76244
Phone (682) 212-9026

800 5th Ave
Ste 500
Ft Worth, TX 76104
Phone (817) 250-4280

6301 Harris Pkwy
Ste 300
Ft Worth, TX 76132
Phone (817) 877-3432

800 5th Ave
Ste 300
Ft Worth, TX 76104
Phone (817) 334-1400

Interoperability endpoints

  • Direct secure messaging: wsmith31003@direct.texashealth.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1386678456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 HARRIS PKWY STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324266",
            "telephone_number": "817-877-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 HARRIS PKWY STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324266",
            "telephone_number": "817-877-3432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Heritage Way Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013160",
            "country_code": "US",
            "telephone_number": "406-752-6784",
            "fax_number": "406-756-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WADE",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA04134",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "163816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "350 Heritage Way Ste 1200",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.