SMITH MEDICAL CLINIC – NPI #1104972629
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

SMITH MEDICAL CLINIC is a provider located in OWASSO, OK. NPPES has assigned the NPI number 1104972629 to SMITH MEDICAL CLINIC on January 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SMITH MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is DAVID L & STANLEY J SMITH PTRS. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 15 years ago on Sep 16, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SMITH MEDICAL CLINIC below.

NPI Profile for
DAVID L & STANLEY J SMITH PTRS

NPI Number
1104972629
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DAVID L & STANLEY J SMITH PTRS
Doing Business As (dba): SMITH MEDICAL CLINIC
Primary location
8510 NORTH 123RD EAST AVENUE
OWASSO, OK 74055
Phone: (918) 272-1138 Fax: (918) 274-2931
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STANLEY SMITH
PARTNER
Phone: (918) 272-1138
Updated
Identifiers

Identifiers for SMITH MEDICAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOK100735800A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
OK

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.