William K Smith, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

10137 Issued in OK

Practice address

200 2ND Ave SW
Miami, OK 74354-6830

Phone

(918) 542-4495

Fax

(918) 542-4497

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1790710408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S GARNETT RD STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465238",
            "telephone_number": "918-728-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 2ND AVE SW",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546830",
            "telephone_number": "918-542-4495",
            "fax_number": "918-542-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WILLIAM",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "10137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "302120767",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100158260A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Sue Smith
• Christian Adaire Smith
• Douglas Smith
• Johnny R Smith, RN
• Rachael Cecelia Smith, FNP-C
• Jequita Dawn Snyder, D.O.
• Edward Lynn Sommerhauser, CRNA
• Tamara Danette Soria, MSW
• Christina Leigh Spriggs-Graham
• Scott Stacy, BS

• All providers in Miami, OK
• Diagnostic Radiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.