Smith Podiatric Services PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

152 Issued in OK

Legal business name

SMITH PODIATRIC SERVICES PLLC

Practice address

1627 N Kickapoo Ave
Shawnee, OK 74804-4313

Phone

(405) 275-8234

Fax

(405) 275-7298

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Cheryl A Watts

Title

Office Manager

Phone

(405) 275-8234

Specialties & licenses 2

Addresses

Other names 1

• AFFILIATED FOOT & ANKLE CLINICS Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1376676494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 N KICKAPOO AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748044313",
            "telephone_number": "405-275-8234",
            "fax_number": "405-275-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 N KICKAPOO AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748044313",
            "telephone_number": "405-275-8234",
            "fax_number": "405-275-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH PODIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-275-8234",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "152",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFFILIATED FOOT & ANKLE CLINICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April Maurine Slawson
• Elise Eckhardt Slaybaugh, MD
• Jenifer Sloan, MHR-CM
• Faith M Sly, DPT
• Meranda Smallwood, LMSW
• Brittani Lee Smith
• Casie Smith, RN
• Emily Lauren Smith
• James Franklin Smith Jr.
• Jennifer Dawn Smith

• Foot & Ankle Surgery Podiatrist in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Foot & Ankle Surgery Podiatrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.