Active NPI
Amy Jo Chadwick-Smith, M.D.
- Family Medicine Physician
- Norman, OK
National Provider Identifier
1073803193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28616
- Practice address
- 2782 Washington Dr Ste 100
Norman, OK 73069-1013 - Phone
- (405) 789-2913
- Fax
- (844) 347-5136
- NPI assigned
- Apr 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28616 | OK | Primary |
Addresses
Primary practice location
2782 Washington Dr Ste 100
Norman, OK 73069-1013
Mailing address
2782 Washington Dr Ste 100
Norman, OK 73069-1013
Phone (405) 789-2913
Other names 1
- Amy Jo Chadwick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240325000804 | OK | Order and Referring Only - Family Practice | 0143440354 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28616 | OK | MD | Family Medicine Physician |
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Choice Health at Home - Western Oklahoma Hospice | Hospice | Other | Apr 13, 2022 |
| Frontier Hospice | Hospice | Contracted Managing Employee | Jun 3, 2023 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Norman, OK
- NPI 1043662661
Contracted Managing Employee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1073803193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2782 WASHINGTON DR STE 100",
"city": "NORMAN",
"state": "OK",
"postal_code": "730691013",
"telephone_number": "405-789-2913",
"fax_number": "844-347-5136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2782 WASHINGTON DR STE 100",
"city": "NORMAN",
"state": "OK",
"postal_code": "730691013",
"telephone_number": "405-789-2913",
"fax_number": "844-347-5136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHADWICK-SMITH",
"first_name": "AMY",
"middle_name": "JO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-11",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "28616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "CHADWICK",
"middle_name": "JO",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.