Gerrod Smith Sr.
Individual provider Active NPI Case Manager/Care Coordinator · Langston, OK
NPI 1134588445 · NPPES record last updated Feb 15, 2016
Key facts
- NPI
- 1134588445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 727 Old Highway 33
Langston, OK 73050-0465 - Phone
- (405) 332-8001
- NPI assigned
- Feb 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OK | Yes |
Addresses
Primary practice location
727 Old Highway 33
Langston, OK 73050-0465
Mailing address
PO Box 465
Langston, OK 73050-0465
Phone (405) 332-8001
Other providers in Langston, OK
- William McCulloh
- Jameerah Sherell Phillips
- Nekia Shawntelle Pride
- Johnson W Sanford
- Magnus W.T. Scott
- David Kenneth Sumo III
- Ginette Tchiengang
All providers in Langston, OK · Case Manager/Care Coordinator in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.