Neal Charles Small, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

24271 Issued in OK

Practice address

2007 N Commerce St
Suite 201
Ardmore, OK 73401-1268

Phone

(580) 226-4599

Fax

(580) 226-4599

NPI assigned

Apr 28, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1437393931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 N COMMERCE ST",
            "address_2": "SUITE 201",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011268",
            "telephone_number": "580-226-4599",
            "fax_number": "580-226-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 N COMMERCE ST",
            "address_2": "SUITE 201",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011268",
            "telephone_number": "580-226-4599",
            "fax_number": "580-226-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "NEAL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-28",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OK",
            "license": "24271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA MEDICAL LICENSE",
            "identifier": "24271",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorinda G Sipe, MS, RD, LD
• John L Sjulin, DDS
• Addika Rayann Skaggs, COTA
• Edward Clyde Skidmore Jr., R.S.S.
• Small Properties LC (Ardmore Orthopedic Center)
• Stephen F. Smalley, D.D.S.
• Alicia Smith
• Charles Smith
• Derek Smith, APRN-CNP
• Janet Diane Smith, D.PH.

• Sports Medicine (Orthopaedic Surgery) Physician in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.