Active NPI
Jonathan James Smith, PA-C
- Medical Physician Assistant
- Pauls Valley, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2096
- Practice address
- 415 W Guy Ave
Pauls Valley, OK 73075-3200 - Phone
- (405) 238-1170
- NPI assigned
- Jan 9, 2012
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2096 | OK | Primary |
Addresses
Primary practice location
415 W Guy Ave
Pauls Valley, OK 73075-3200
Mailing address
415 W Guy Ave
Pauls Valley, OK 73075-3200
Phone (405) 238-1170
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2824 Classen Blvd
Norman, OK 73071-4059
Phone (405) 701-3563
Hospital & facility affiliations
- Loving Care in-Home Health Services, L.L.C.
- Norman Regional
- O U Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Classen Urgent Care Clinic LLC | Current | Accepting new patients | |
| Norman Regional Hospital Authority | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
1015 SW 4th St
Moore, OK 73160
Phone (405) 378-2001
2824 Classen Blvd
Norman, OK 73071
Phone (405) 701-3563
2818 Classen Blvd
Norman, OK 73071
Phone (405) 701-7111
2824 Classen Blvd
#100
Norman, OK 73071
Phone (405) 701-3563
Interoperability endpoints
- j.smith@cfp-ok.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Norman, OK
- NPI 1861732992
-
- Urgent Care Clinic/Center
- Norman, OK
- NPI 1427337518
-
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Noble, OK
- NPI 1528169497
-
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326067200000",
"number": "1477823342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 W GUY AVE",
"city": "PAULS VALLEY",
"state": "OK",
"postal_code": "730753200",
"telephone_number": "405-238-1170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 W GUY AVE",
"city": "PAULS VALLEY",
"state": "OK",
"postal_code": "730753200",
"telephone_number": "405-238-1170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JONATHAN",
"middle_name": "JAMES",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-09",
"last_updated": "2012-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OK",
"license": "2096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pauls Valley, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.