Active NPI
Cassie M Smith MD PLLC
Doing business as Modern Endocrine
- Endocrinology, Diabetes & Metabolism Physician
- Edmond, OK
National Provider Identifier
1366297558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- CASSIE M SMITH MD PLLC
- Doing business as
- Modern Endocrine
- Practice address
- 1616 S Kelly Ave
Edmond, OK 73013-3651 - Phone
- (405) 286-1571
- Fax
- (405) 286-1572
- NPI assigned
- Apr 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura McKenzie
- Title
- Business Manager
- Phone
- (405) 844-5221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
1616 S Kelly Ave
Edmond, OK 73013-3651
Mailing address
1616 S Kelly Ave
Edmond, OK 73013-3651
Phone (405) 286-1571
Other names 1
- MODERN ENDOCRINE
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2270662 | Modern Endocrine | Certificate of waiver | Oct 18, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713744000000",
"number": "1366297558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 S KELLY AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133651",
"telephone_number": "405-286-1571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 S KELLY AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133651",
"telephone_number": "405-286-1571",
"fax_number": "405-286-1572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASSIE M SMITH MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-21",
"status": "A",
"authorized_official_last_name": "MCKENZIE",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "405-844-5221"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MODERN ENDOCRINE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.