SMH Physician Group, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2189 Issued in OK

Legal business name

SMH PHYSICIAN GROUP, LLC

Practice address

213 E Redwood Ave
Sallisaw, OK 74955-2811

Phone

(918) 774-1100

Fax

(918) 774-1103

NPI assigned

Jan 17, 2013

Organization subpart

No

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

Authorized official

Name

Debra R. Knoke

Title

Ceo

Phone

(918) 774-1100

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sequoyah County City of Sallisaw Hospital Authority

  • Home Health Agency
  • Sallisaw, OK
  • NPI 1942361159

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1497093959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E REDWOOD AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749552811",
            "telephone_number": "918-774-1100",
            "fax_number": "918-774-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E REDWOOD AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749552811",
            "telephone_number": "918-774-1100",
            "fax_number": "918-774-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMH PHYSICIAN GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "KNOKE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-774-1100"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "OK",
            "license": "2189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Shepherd
• Pat Sikes
• Heather Silva
• Sonya Denise Simmons
• Brian Sitsler
• Florence Christine (Kris) Smith
• Laura Marie Smith
• Rebel Dawn Smith, ARNP
• Stephanie Joellen Smith
• Susan Smith

• General Practice Physician in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• General Practice Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.