Malcolm Derek Smith, Dpm Pc in Ponca City - Podiatrist
Malcolm Derek Smith, Dpm Pc - NPI 1285803049
Malcolm Derek Smith, Dpm Pc is a Podiatrist in Ponca City, Oklahoma. Malcolm Derek Smith, Dpm Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Malcolm Derek Smith, Dpm Pc is 1285803049. The last update date is 2008-02-26.
Malcolm Derek Smith, Dpm Pc'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, Dpm Pc is 1700 N 5th St, Ponca City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Malcolm Derek Smith, Dpm Pc |
|---|---|
| Address | 1700 N 5th St, Ponca City, Oklahoma |
| Phone Number | 5807653389 |
| Fax Number | 5807623994 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Smith Rae Jennifer |
| Telephone Number | 5807653389 |
NPI Number Detail
| NPI Number | 1285803049 |
|---|---|
| Provider Enumeration Date | 2008-02-26 |
| Last Updated Date | 2008-02-26 |
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 | -- | |
| 294540038001 | OK | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Malcolm Derek Smith, Dpm Pc?
The Malcolm Derek Smith, Dpm Pc has been issued the NPI (National Provider Identifier) 1285803049 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Malcolm Derek Smith, Dpm Pc's physical address?
The Malcolm Derek Smith, Dpm Pc is physically located at 1700 N 5Th St, in the city of Ponca City, OK, with the postal code 746012762.
What is Malcolm Derek Smith, Dpm Pc's area of expertise and its corresponding taxonomy classification?
The Malcolm Derek Smith, Dpm Pc's field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1285803049 assigned to Malcolm Derek Smith, Dpm Pc?
The Malcolm Derek Smith, Dpm Pc was issued its 1285803049 on 2008-02-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Malcolm Derek Smith, Dpm Pc's information last updated?
The Malcolm Derek Smith, Dpm Pc's information was last updated on 2008-02-26.
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