Stuart Scott Smith, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

5700 Arnold St
Tinker Afb, OK 73145-8105

Phone

(405) 734-2678

NPI assigned

Apr 30, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1255575577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N MIDWEST BLVD APT G",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731103235",
            "telephone_number": "405-887-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 ARNOLD ST",
            "city": "TINKER AFB",
            "state": "OK",
            "postal_code": "731458105",
            "telephone_number": "405-734-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STUART",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "IDMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Schetter, APRN
• Olga Beatriz Simons, MSW
• Christopher Smith
• Jamie L Smith, DDS
• Kendra Kay Davis Smith, RDH
• Tristanne Marie Spottswood, D.M.D.
• Robin Elaine Squellati, WHNP
• Sunland Optical Co., Inc.
• Seth Anthony Terrana, SURFACE FORCE IDC
• The Janz Corporation

• Independent Duty Medical Technicians in Tinker Afb, OK
• Providers in Tinker Afb, OK by specialty
• Independent Duty Medical Technicians in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.