Ok Smith Jr MD PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

OK SMITH JR MD PLLC

Practice address

1109 E Reelfoot Ave
Suite H
Union City, TN 38261-5856

Phone

(731) 884-1515

Fax

(731) 884-1512

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

O K Smith Jr., MD

Title

Owner

Phone

(731) 884-1515

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1780890293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 E REELFOOT AVE",
            "address_2": "SUITE H",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615856",
            "telephone_number": "731-884-1515",
            "fax_number": "731-884-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 E REELFOOT AVE",
            "address_2": "SUITE H",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615856",
            "telephone_number": "731-884-1515",
            "fax_number": "731-884-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OK SMITH JR MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "O",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-884-1515",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3370080",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nwtsc,LLC
• Obion County Schools
• Michael Chad Odle, F.N.P.
• Miles Christian Odle, PA-C
• Adrienne N Offutt
• Scott Neill Osborne, M.D.
• Leighanne Petrencsik Paige, SLP
• Brandon Pate, FNP
• Bruce Johnson Pate, DPH.
• Tammy Jo Patton, PTA

• General Practice Physician in Union City, TN
• Providers in Union City, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.