Marvin Eugene Smith

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

425 NW 7TH St
Oklahoma City, OK 73102

Phone

(405) 230-1148

NPI assigned

May 4, 2007

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

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Absentee Shawnee Tribal Health Authority, IncGroup PAC ID 5799171088, 83 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Absentee Shawnee Tribal Health Authority, Inc.

  • Multi-Specialty Clinic/Center
  • Shawnee, OK
  • NPI 1942253521
  Medicare reassignment Care Compare group NPD
• Absentee Shawnee Tribal Health Authority, Inc.

  • Multi-Specialty Clinic/Center
  • Norman, OK
  • NPI 1124152962
  NPD

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902018823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10611 TUMILTY AVE",
            "address_2": "NONE",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731302227",
            "telephone_number": "405-769-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 NW 7TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73102",
            "telephone_number": "405-230-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARVIN",
        "middle_name": "EUGENE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Nicole Smith
• Marcus John Smith, MD
• Marcus Lee Smith Sr.
• Maria Agnes Essien Smith, ARNP
• Mark Alan Smith, RN
• Mary Leann Smith, MD
• Mary Rebecca Smith, P.T.
• Megan Smith
• Megan Jade Smith, DPT
• Melinda Lee Smith, PT

• Addiction (Substance Use Disorder) Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.