Malcolm Derek Smith in Ponca City - Podiatrist
Malcolm Derek Smith - NPI 1093732562
Malcolm Derek Smith is a Podiatrist in Ponca City, Oklahoma. Malcolm Derek Smith practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Malcolm Derek Smith is 1093732562. The last update date is 2008-04-22.
Malcolm Derek Smith's current location address is 1700 N 5th St, Ponca City, Oklahoma. You can contact this provider via phone number 5807653389 and fax number 5807623994. The mailing address for Malcolm Derek Smith is 1700 N 5th St, Ponca City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Malcolm Derek Smith |
|---|---|
| Address | 1700 N 5th St, Ponca City, Oklahoma |
| Phone Number | 5807653389 |
| Fax Number | 5807623994 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1093732562 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
| Address | 1700 N 5th St |
|---|---|
| City | Ponca City |
| State | Oklahoma (OK) |
| Post Code | 746012762 |
| Phone Number | 5807653389 |
| Fax Number | 5807623994 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 198 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100779800A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Malcolm Derek Smith by the Centers for Medicare & Medicaid Services?
The Malcolm Derek Smith has been assigned the NPI (National Provider Identifier) 1093732562 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Malcolm Derek Smith is physically located?
The Malcolm Derek Smith is physically situated at the following address: 1700 N 5Th St, Ponca City, OK, 746012762.
What is Malcolm Derek Smith's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Malcolm Derek Smith is Podiatrist, and the taxonomy code that classifies this field of practice is 213E00000X.
On what date did Malcolm Derek Smith receive its 1093732562 assignment from the Centers for Medicare & Medicaid Services?
The Malcolm Derek Smith was assigned its 1093732562 on 2006-07-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Malcolm Derek Smith most recently updated or revised?
The information pertaining to Malcolm Derek Smith, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-22.
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