Active NPI
Michael James Smith, MSPAS
- Physician Assistant
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- APA2412
- Practice address
- 1923 S Utica Ave
Tulsa, OK 74104-6520 - Phone
- (918) 748-7585
- Fax
- (918) 748-7539
- NPI assigned
- Nov 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | APA2412 | OK | Primary |
Addresses
Primary practice location
1923 S Utica Ave
Tulsa, OK 74104-6520
Mailing address
1819 E 19TH St
Tulsa, OK 74104-5407
Other practice location 1
1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (520) 622-5833
Other names 1
- Mr. Michael James Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16260 S Sahuarita PL
Sahuarita, AZ 85629-0047
Phone (520) 416-7100
3705 N Swan Rd
Tucson, AZ 85718-6939
Phone (520) 299-7088
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 229-2657
Hospital & facility affiliations
- Northwest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APA2412 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carondelet Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
-
- Cardiovascular Disease Physician
- Tucson, AZ
- NPI 1629741376
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1952737231
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1962944702
-
- Interventional Cardiology Physician
- Tucson, AZ
- NPI 1356726939
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1659326585
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1487607784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1366848137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 E 19TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741045407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1923 S UTICA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741046520",
"telephone_number": "918-748-7585",
"fax_number": "918-748-7539"
}
],
"practiceLocations": [
{
"address_1": "1601 W Saint Marys Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857452623",
"country_code": "US",
"telephone_number": "520-622-5833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "MSPAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-06",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "APA2412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "SMITH",
"middle_name": "JAMES",
"prefix": "MR.",
"credential": "MSAPS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.