Active NPI
Kloey Lee Smith
- Physician Assistant
- Kingston, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5455
- Practice address
- 701 US-70 East
Kingston, OK 73439 - Phone
- (580) 624-6070
- NPI assigned
- Nov 11, 2024
- Last updated
- Jan 10, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5455 | OK | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
701 US-70 East
Kingston, OK 73439
Mailing address
419 Harris Rd
Haworth, OK 74740-5138
Phone (918) 974-9264
Other practice location 1
2400 W Shawnee St
Muskogee, OK 74401-2275
Phone (918) 444-5464
Other practice location 2
901 S 5th Ave
Madill, OK 73446-3640
Phone (589) 795-3384
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
701 Hwy 70 E
Kingston, OK 73439-8253
Phone (580) 564-7338
901 S 5TH Ave
Madill, OK 73446-3640
Phone (580) 795-3384
907 Hospital Dr
Madill, OK 73446-5508
Phone (580) 795-0191
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6974 | OK | MD | General Practice Dentistry |
| 5455 | OK | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall County Hma, LLC | Current | Accepting new patients | |
| Marshall County Hma, LLC | Past | Accepting new patients |
Locations
701 Highway 70 E
Kingston, OK 73439
Phone (580) 564-7338
901 S 5th Ave
Madill, OK 73446
Phone (580) 564-7338
907 Hospital Dr
Madill, OK 73446
Phone (580) 795-0191
Interoperability endpoints
- kloey.smith.1@4696.direct.athenahealth.com
- kloey.smith.2@4696.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Durant, OK
- NPI 1356874374
-
- Family Medicine Physician
- Madill, OK
- NPI 1780955898
-
dba AllianceHealth Atoka Clinic
- Rural Health Clinic/Center
- Atoka, OK
- NPI 1003670647
-
dba AllianceHealth Madill
- Critical Access Hospital
- Madill, OK
- NPI 1467476556
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AllianceHealth Madill
- Critical Access Hospital
- Madill, OK
- NPI 1467476556
-
- Home Health Agency
- Ada, OK
- NPI 1255756995
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1316761950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 HARRIS RD",
"city": "HAWORTH",
"state": "OK",
"postal_code": "747405138",
"telephone_number": "918-974-9264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 US-70 EAST",
"city": "KINGSTON",
"state": "OK",
"postal_code": "73439",
"telephone_number": "580-624-6070"
}
],
"practiceLocations": [
{
"address_1": "2400 W Shawnee St",
"address_purpose": "LOCATION",
"city": "Muskogee",
"state": "OK",
"postal_code": "744012275",
"country_code": "US",
"telephone_number": "918-444-5464",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 S 5th Ave",
"address_purpose": "LOCATION",
"city": "Madill",
"state": "OK",
"postal_code": "734463640",
"country_code": "US",
"telephone_number": "589-795-3384",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "KLOEY",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-11",
"last_updated": "2025-01-10",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "5455",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.