Individual provider Active NPI

Kerri Dione Anthony, M.D.

  • Gynecology Physician
  • Oklahoma City, OK
National Provider Identifier
1497927511
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
26186 Issued in OK
Practice address
4140 W Memorial Rd
Suite 321
Oklahoma City, OK 73120-8366
Phone
(405) 286-5600
Fax
(405) 607-2711
NPI assigned
Mar 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 26186 OK Primary

Addresses

Primary practice location

4140 W Memorial Rd
Suite 321
Oklahoma City, OK 73120-8366

Mailing address

4140 W Memorial Rd
Suite 321
Oklahoma City, OK 73120-8366
Phone (405) 286-5600

Other identifiers 1

IdentifierTypeStateIssuer
200201910AMedicaidOK

Other names 1

  • Kerri Dione Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, ND3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080829000233 OK Practitioner - Obstetrics/Gynecology 9931275872 Reassigns benefits to 1 organization
I20230306001050 TX Practitioner - Obstetrics/Gynecology 9931275872 Reassigns benefits to 1 organization
I20260612002503 ND Practitioner - Obstetrics/Gynecology 9931275872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Morehouse School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
Obstetrical Hospitalists and Womens Services LLCGroup PAC ID 8224258827, 8 clinicians

Practice addresses (Care Compare)

220 E Harris Ave
San Angelo, TX 76903-5906
Phone (325) 747-1511

4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 286-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26186OKMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Your Menopause MD, PLLC Current Accepting new patients
Shannon Clinic CurrentSince Mar 6, 2026 Accepting new patients
Saint Francis Medical Center Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients

Locations

220 E Harris Ave
San Angelo, TX 76903
Phone (325) 481-2000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1497927511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "SUITE 321",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208366",
            "telephone_number": "405-286-5600",
            "fax_number": "405-607-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "SUITE 321",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208366",
            "telephone_number": "405-286-5600",
            "fax_number": "405-607-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "KERRI",
        "middle_name": "DIONE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OK",
            "license": "26186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200201910A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "SMITH",
            "middle_name": "DIONE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.