Shawn Smith, M.D., P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

18758 Issued in OK

Legal business name

SHAWN SMITH, M.D., P.C.

Practice address

5100 N Brookline Ave
Suite 500
Oklahoma City, OK 73112-3623

Phone

(405) 605-8780

NPI assigned

Jun 16, 2008

Organization subpart

No

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

Authorized official

Name

Michael Shawn Smith, M.D.

Title

MD

Phone

(405) 605-8780

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1083874754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960261",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960261",
            "telephone_number": "405-605-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N BROOKLINE AVE",
            "address_2": "SUITE 500",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123623",
            "telephone_number": "405-605-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN SMITH, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "405-605-8780",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OK",
            "license": "18758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1689610719",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100149600C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marshall David Shaw, M.D.
• Richard Anthony Shaw, CAMFT
• Shana R Shaw
• William Shaw, PSY.D.
• Shawn K Lee MD PC
• Pamela J. Shawn, M.S.
• Shawnaree L. Lee, DO PLLC
• Shawnee RT Associates LLC
• Justin Shawver, LPN
• Brian Shayota, M.D., M.P.H.

• Physical Medicine & Rehabilitation Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physical Medicine & Rehabilitation Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.