Individual provider Active NPI

Corby Wade Smithton, DO

  • Family Medicine Physician
  • Stillwater, OK
National Provider Identifier
1366437246
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3789 Issued in OK
Practice address
1921 W 6TH Ave
Stillwater, OK 74074-4204
Phone
(405) 533-1474
Fax
(405) 742-4990
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Other identifiers 1

IdentifierTypeStateIssuer
100119580AMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000626 OK Practitioner - Family Practice 2961576178 Reassigns benefits to 1 organization

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 IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

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 Home health agency, Stillwater, OK, CCN 377742
  • Stillwater Medical at Home Home health agency, Stillwater, OK, CCN 377204
  • Complete Home Health of Western Oklahoma Home health agency, Enid, OK, CCN 377167
  • Stillwater Medical Center Hospital, Stillwater, OK, CCN 370049
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Stillwater Medical - Perry Hospital, Perry, OK, CCN 370779

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3789OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Corby Smithton, D.O., P.C. Family Medicine CurrentSince Aug 12, 2002 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

  • Direct secure messaging: corby.smithton.1@25551.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100119580A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

Verify at the official NPI Registry.