BRYAN TERRY SMEDLEY (NPI# 1275822926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275822926 |
| Entity Type | Individual |
| Full Name | BRYAN TERRY SMEDLEY |
| Credential | D.O. |
| Practice Address |
10512 N 110th East Ave Suite 210 Owasso OK 74055-6636 |
| Mailing Address |
10512 N 110th East Ave Ste 200 Owasso OK 74055-6638 |
| Practice Telephone | 9183768996 |
| Practice Fax Number | 9183768990 |
| Mailing Telephone | 9183768996 |
| Mailing Fax Number | 9183768990 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2016-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
5118 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346332616 | Bryan D Smedley | Technician, Other | 15 Mohegan Ave, Medical Clinic, New London, CT 06320-8100 | 2006-09-28 |
| Street Address |
10512 N 110TH EAST AVE SUITE 210 |
| City | OWASSO |
| State | OK |
| Zip Code | 74055-6636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265428098 | Jon Everard Orjala | Specialist | 10512 N 110th East Ave, Ste 220, Owasso, OK 74055-6638 | 2005-09-27 |
| 1043714587 | Tracy Lee Foster | Registered Nurse | 10512 N 110th East Ave, Owasso, OK 74055 | 2018-03-20 |
| 1972014439 | Elizabeth A. Tooley | Dietitian, Registered | 10512 N 110th East Ave, Owasso, OK 74055-6636 | 2017-10-23 |
| 1326468224 | Tyler Gregory Ellington | Internal Medicine | 10512 N 110th East Ave, Owasso, OK 74055-6636 | 2014-04-18 |
| 1386981413 | Karin Annette Beals | Nurse Practitioner | 10512 N 110th East Ave, Owasso, OK 74055-6636 | 2013-01-09 |
| 1528363827 | Sara Jean Enyart | Physician Assistant | 10512 N 110th East Ave, Ste 100, Owasso, OK 74055-6638 | 2011-01-18 |
| 1689802605 | Injury Prevention Solutions, Inc. | Clinic/Center | 10512 N 110th East Ave, Suite 150, Owasso, OK 74055-6636 | 2009-06-29 |
| 1477789923 | Kelly Dawn Stemm | Nurse Practitioner | 10512 N 110th East Ave, Suite 100, Owasso, OK 74055-6655 | 2009-06-10 |
| 1427233535 | Empicare, Inc. | Durable Medical Equipment & Medical Supplies | 10512 N 110th East Ave, Suite 150a, Owasso, OK 74055-6636 | 2008-01-08 |
| 1184818221 | J Kirk & Company P C | Surgery | 10512 N 110th East Ave, Suite 100, Owasso, OK 74055-6636 | 2007-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151587 | Lakecrest Dental-owasso 96th | Dentist | 9551 N. Owasso Expressway, Suite #100, Owasso, OK 74055 | 2019-08-27 |
| 1205328697 | Eddie Duane Gaut | Case Manager/Care Coordinator | 110 W 3rd St., Apt 11, Owasso, OK 74055 | 2018-06-01 |
| 1821586694 | Kaitlyn Konarik | Speech-Language Pathologist | 12899 E 76th St N, Ste. 109, Owasso, OH 74055 | 2018-04-27 |
| 1043733769 | Kelsey Renae Nicklas | Case Manager/Care Coordinator | 9310 N 163rd East Ave, Owasso, OK 74055 | 2017-07-25 |
| 1700259256 | Genscripts Owasso, LLC | Pharmacy | 9538 N Garnett Rd, Suite 102, Owasso, OK 74055 | 2015-11-05 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 1598152407 | Justin Lum | Physical Therapist | 12326 E 86th St N, Owasso, OK 74055 | 2015-04-17 |
| 1033507660 | Kimberly Louise Howard | Physical Therapy Assistant | 12899 East 76th St North, Owasso, OK 74055 | 2015-01-06 |
| 1780920629 | Timothy Ryan Thornton | Behavioral Analyst | 11330 N 94 E Ave, Owasso, OK 74055 | 2012-12-21 |
| 1679842785 | Kelli Marie Ellis | Counselor | 19760 E Fox Run Cir, Owasso, OK 74055 | 2011-12-19 |
| Find all providers in zip 74055 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538674783 | Timothy Jones Md Pllc | Otolaryngology | 13150 N Macarthur Blvd, Oklahoma City, OK 73142-3017 | 2017-12-11 |
| 1023493566 | Chase K Nelson | Otolaryngology | 744 W 9th St, Tulsa, OK 74127-9020 | 2015-07-27 |
| 1396123246 | Caleb Eugene Burrows | Otolaryngology | 2000 S Wheeling Ave, Ste 900, Tulsa, OK 74104-5647 | 2015-05-12 |
| 1770885931 | Ent Associates Pllc | Otolaryngology | 1201 S Douglas Blvd, Ste L, Midwest City, OK 73130-5239 | 2010-11-21 |
| 1649584855 | Lea Sarah Humphrey | Otolaryngology | 1203 E Ross Byp, Tahlequah, OK 74464-4133 | 2010-07-29 |
| 1831352723 | Jean-maria Christina Langley | Otolaryngology | 9001 S 101st East Ave, Suite 280, Tulsa, OK 74133-5708 | 2008-07-09 |
| 1427003854 | Troy E Major IIi | Otolaryngology | 535 Nw 9th St, Suite 300, Oklahoma City, OK 73102-1070 | 2006-05-24 |
| 1528021912 | Paul David Hunter | Otolaryngology | 535 Nw 9th St, Suite 300, Oklahoma City, OK 73102-1070 | 2006-04-08 |
| 1053371021 | Tracey Way Childers | Otolaryngology | 1203 E Ross Byp, Suite A, Tahlequah, OK 74464-4188 | 2006-03-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.