Individual provider Active NPI

Amy Jo Chadwick-Smith, M.D.

  • Family Medicine Physician
  • Norman, OK
National Provider Identifier
1073803193
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28616 Issued in OK
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

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240325000804 OK Order and Referring Only - Family PracticePractitioner - Family Practice 0143440354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28616OKMDFamily 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.

FacilityTypeRoleSince
Choice Health at Home - Western Oklahoma HospiceNorman, OK, CCN 371622 Hospice Other Apr 13, 2022
Frontier HospiceNorman, OK, CCN 371570 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.

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

Verify at the official NPI Registry.