DR. KELSEY J SMITH (NPI# 1679660427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679660427 |
| Entity Type | Individual |
| Full Name | DR. KELSEY J SMITH |
| Credential | M.D. |
| Practice Address |
1921 W 6th Ave Ste A Stillwater OK 74074-4204 |
| Practice Telephone | 4055332433 |
| Practice Fax Number | 4055332434 |
| Mailing Telephone | 4055332433 |
| Mailing Fax Number | 4055332434 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2013-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 23786 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | DEA # | BS9119555 | 01 |
| OK | 100745000C | 05 | |
| OK | MEDICAL LICENSE # | 23786 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164075636 | Kelsey Morgan Smith | Occupational Therapist | 1059 W Laguna Azul Ave, Mesa, AZ 85210-7125 | 2019-07-23 |
| 1912420381 | Kelsey Smith | Speech-Language Pathologist | 30362 Crepe Myrtle Ct, Daphne, AL 36527-8613 | 2017-07-18 |
| 1659801108 | Kelsey Smith | Chiropractor | 2300 Matlock Rd Ste 4, Mansfield, TX 76063-5018 | 2017-06-18 |
| 1114453123 | Kelsey Smith | Social Worker | 14535 3/4 Dickens St, Sherman Oaks, CA 91403-3761 | 2017-05-11 |
| 1609300300 | Kelsey Smith | Occupational Therapist | 3111 124th Ave Nw Ste 123, Coon Rapids, MN 55433-4573 | 2017-04-19 |
| 1114536190 | Kelsey Marie Smith | Massage Therapist | 5 N Main St, Englewood, OH 45322-1326 | 2020-07-27 |
| 1750905964 | Kelsey Deborah Smith | Optometrist | 1075 N Academy Blvd, Colorado Springs, CO 80909-4401 | 2020-06-03 |
| 1962035451 | Kelsey Dee Smith | Physical Therapy Assistant | 209 Fitness Way Ste D, Athens, AL 35611-2452 | 2020-02-13 |
| 1588296081 | Kelsey Smith | Behavior Technician | 632 Eastern Blvd, Clarksville, IN 47129-2463 | 2020-02-12 |
| 1992337042 | Kelsey Margaret Smith | Physical Therapist | 600 Country Club Rd, Eugene, OR 97401-2240 | 2020-02-06 |
| Street Address |
1921 W 6TH AVE STE A |
| City | STILLWATER |
| State | OK |
| Zip Code | 74074-4204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639158355 | Frank J. Evans | Family Medicine | 1921 W 6th Ave Ste A, Stillwater, OK 74074-4204 | 2006-01-11 |
| 1154527877 | Kelsey J Smith Md PC | Family Medicine | 1921 W 6th Ave Ste A, Stillwater, OK 74074-4204 | 2007-06-21 |
| 1811010424 | Garrick Shreck Do PC | Family Medicine | 1921 W 6th Ave Ste A, Stillwater, OK 74074-4204 | 2007-04-09 |
| 1124141734 | Colbi Smithton, D.o. PC | Pediatrics | 1921 W 6th Ave Ste A, Stillwater, OK 74074-4204 | 2007-04-09 |
| 1992828594 | Corby Smithon, D.o. PC | Family Medicine | 1921 W 6th Ave Ste A, Stillwater, OK 74074-4204 | 2007-04-09 |
| 1174678809 | Frank J Evans, D.o. PC | Family Medicine | 1921 W 6th Ave Ste A, Stillwater, OK 74074-4204 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1366095861 | Kelsey Lyn Bigheart | Peer Specialist | 5421 S Deer Trail, Stillwater, OK 74074 | 2019-07-23 |
| 1881256691 | Shelly Lynn Green | Nurse Practitioner | 1321 W. 7th Street, Stillwater, OK 74074 | 2019-07-01 |
| 1811426273 | Judy Catlett | Case Manager/Care Coordinator | 800 E. 6th Str, Stillwater, OK 74074 | 2017-06-08 |
| 1518322296 | Abi Physical Therapy Services | Physical Therapist | 810 S. Walnut Street, Stillwater, OK 74074 | 2015-12-22 |
| 1366833451 | Connecting The Pieces | Case Management | 812 S Walnut, Stillwater, OK 74074 | 2015-02-10 |
| 1790122414 | Airie Flanagan | Doula | 2601 Gregory Ln, Stillwater, OK 74074 | 2013-06-04 |
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1144570565 | Nikkie Jo Dunnigan | Counselor | 2322 W 7th, Stillwater, OK 74074 | 2012-09-13 |
| 1487889952 | Lynn B. Roberts | General Practice | 1321 W 7th St, Stillwater Community Health, Stillwater, OK 74074 | 2009-05-27 |
| Find all providers in zip 74074 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912480971 | Samaritan Hospital of Troy, New York | Family Medicine | 1111 Hudson Avenue, Stillwater, NY 12170-3439 | 2018-09-14 |
| 1336657022 | Brandi Watts | Family Medicine | 1523 W 9th Ave, Stillwater, OK 74074-5469 | 2018-01-16 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1003149139 | Oca Stillwater Lp | Family Medicine | 275 S Perkins Rd, Stillwater, OK 74074-3665 | 2009-09-08 |
| 1184871295 | Jon Stratte | Family Medicine | 114 Lakeside Dr, Stillwater, MN 55082-4238 | 2008-08-20 |
| 1215125489 | Paul Vincent Quinn | Family Medicine | 9991 Arcola Ct N, Stillwater, MN 55082-9523 | 2007-10-11 |
| 1972527422 | Andrew D Maas | Family Medicine | 270 Main N St 300, Stillwater, MN 55082-6788 | 2006-07-27 |
| 1558384511 | Jessica A Davis | Family Medicine | 781 Hudson Avenue, Suite 2, Stillwater, NY 12170 | 2006-07-25 |
| 1275566358 | Wesley Andrews | Family Medicine | O S U Student Health Service, 1202 W. Farm Road, Stillwater, OK 74078-2036 | 2006-07-09 |
| 1114967288 | Kenneth Evans | Family Medicine | 8821 W 6th Ave, Stillwater, OK 74074-1094 | 2006-06-07 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 74074 |
Please comment or provide details below to improve the information on DR. KELSEY J SMITH.
| 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.