Active NPI
Corby Wade Smithton, DO
- Family Medicine Physician
- Stillwater, OK
National Provider Identifier
1366437246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3789
- Practice address
- 1921 W 6TH Ave
Stillwater, OK 74074-4204 - Phone
- (405) 533-1474
- Fax
- (405) 742-4990
- NPI assigned
- Sep 15, 2005
- Last updated
- Jul 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3789 | OK | Primary |
Addresses
Primary practice location
1921 W 6TH Ave
Stillwater, OK 74074-4204
Mailing address
1921 W 6TH Ave
Stillwater, OK 74074-4204
Phone (405) 533-1474
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
1921 W 6TH Ave
Suite a
Stillwater, OK 74074-4204
Phone (405) 533-2433
2230 N Perkins Rd
Stillwater, OK 74075-3076
Phone (405) 780-9919
Hospital & facility affiliations
- Elara Caring Xviii
- Stillwater Medical at Home
- Complete Home Health of Western Oklahoma
- Stillwater Medical Center
- O U Medical Center
- Stillwater Medical - Perry
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3789 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corby Smithton, D.O., P.C. | Family Medicine | Current | Accepting new patients |
| Stillwater Medical Center Authority | Past | Accepting new patients |
Locations
1921 W 6th Ave
#A
Stillwater, OK 74074
Phone (405) 533-2433
Interoperability endpoints
- corby.smithton.1@25551.direct.athenahealth.com
Organizations & group practices 3
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
- Stillwater, OK
- NPI 1992828594
-
- Family Medicine Physician
- Stillwater, OK
- NPI 1881985109
-
dba Stillwater Medical Center
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Complete Home Health of Western Oklahoma
- Home Health Agency
- Enid, OK
- NPI 1174519102
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
-
dba Perry Memorial Hospital
- Rural Acute Care Hospital
- Perry, OK
- NPI 1003318692
-
dba Stillwater Medical Center
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
-
dba Stillwater Medical Center Home Health Services
- Home Health Agency
- Stillwater, OK
- NPI 1871567958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310515200000",
"number": "1366437246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 W 6TH AVE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744204",
"telephone_number": "405-533-1474",
"fax_number": "405-742-4990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 W 6TH AVE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744204",
"telephone_number": "405-533-1474",
"fax_number": "405-742-4990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITHTON",
"first_name": "CORBY",
"middle_name": "WADE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2011-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "3789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.