Active NPI
Martin J Smolik, MD
- Anesthesiology Physician
- Lawton, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 15705
- Practice address
- 3401 W Gore Blvd
Lawton, OK 73505-6332 - Phone
- (580) 355-8620
- NPI assigned
- May 10, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 38195 | IA | |
| Anesthesiology Physician | 207L00000X | R5J51 | MO | |
| Anesthesiology Physician | 207L00000X | 15705 | OK | Primary |
Addresses
Primary practice location
3401 W Gore Blvd
Lawton, OK 73505-6332
Mailing address
PO Box 2309 Section 4
Lawton, OK 73502
Phone (800) 627-4726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33306 | Other | MO | CDS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Oklahoma College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10512 N 110TH E Ave
Bailey Med Ctr
Owasso, OK 74055-6636
Phone (918) 376-8000
Hospital & facility affiliations
- Memorial Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38195 | IA | MD | Anesthesiology Physician |
| R5J51 | MO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Colleagues Inc | Anesthesiology | Current | Accepting new patients |
| Emergenchealth PLLC | Anesthesiology | Current | Accepting new patients |
| Ozark Anesthesia Associates, Inc. | Anesthesiology | Past | Accepting new patients |
| Mid-America Anesthesia Consultants, PC | Anesthesiology | Past | Accepting new patients |
Locations
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207
10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172
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.
-
- Anesthesiology Physician
- Columbia, MO
- NPI 1083728463
-
- Anesthesiology Physician
- Springfield, MO
- NPI 1831109586
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1891745030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2309 SECTION 4",
"city": "LAWTON",
"state": "OK",
"postal_code": "73502",
"telephone_number": "800-627-4726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 W GORE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056332",
"telephone_number": "580-355-8620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOLIK",
"first_name": "MARTIN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IA",
"license": "38195",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "R5J51",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "15705",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS",
"identifier": "33306",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.