DAVID L & STANLEY J SMITH PTRS NPI 1104972629

NPI Information

  • NPI: 1104972629
  • Provider Name: DAVID L & STANLEY J SMITH PTRS
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: SMITH MEDICAL CLINIC
  • Address: 8510 NORTH 123RD EAST AVENUE
    OWASSO, OK
    ZIP 74055
  • Phone: (918) 272-1138

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NPI Details

DAVID L & STANLEY J SMITH PTRS is a family medicine in Owasso, OK. The provider is 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. DAVID L & STANLEY J SMITH PTRS NPI is 1104972629. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Smith Medical Clinic.

The provider's business location address is:

8510 NORTH 123RD EAST AVENUE
OWASSO, OK
ZIP 74055
Phone: (918) 272-1138
Fax: (918) 274-2931

The provider's authorized official is Stanley Joe Smith .
The authorized official title is Partner and has the following contact phone number (918) 272-1138.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 9/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineOKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500522070MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMAGROUP
2100735800AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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