DR. RODERIC A SMITH (NPI# 1811920663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811920663 |
| Entity Type | Individual |
| Full Name | DR. RODERIC A SMITH |
| Credential | M.D. |
| Practice Address |
1921 Stonecipher Blvd Ada OK 74820 |
| Practice Telephone | 5804214570 |
| Practice Fax Number | 5804216283 |
| Mailing Telephone | 5804214570 |
| Mailing Fax Number | 5804216283 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2017-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | F3344 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 87W703 | 01 |
| TX | 116432902 | 05 | |
| TX | RR MEDICARE | 080074674 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952362170 | Roderic Smith | Psychiatry & Neurology | 3340 Providence Dr, Suite A567, Anchorage, AK 99508-4691 | 2006-03-29 |
| Street Address |
1921 STONECIPHER BLVD |
| City | ADA |
| State | OK |
| Zip Code | 74820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316945363 | Jerry S Morgan | Internal Medicine | 1921 Stonecipher Blvd, Ada, OK 74820-3439 | 2005-07-13 |
| 1568967602 | Pamela Kelli Grafton | Student in an Organized Health Care Education/Training Program | 1921 Stonecipher Blvd, Ada, OK 74820 | 2018-03-29 |
| 1396273314 | Mohammed R. Kayyali | Dentist | 1921 Stonecipher Blvd, Ada, OK 74820 | 2017-06-03 |
| 1174063903 | Chickasaw Nation Division of Health | Medicare Defined Swing Bed Unit | 1921 Stonecipher Blvd, Ada, OK 74820-3439 | 2017-02-27 |
| 1891247466 | Nissa Harrington | Dietitian, Registered | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-10-31 |
| 1437605078 | Mara Michael | Physical Therapist | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-09-01 |
| 1427505072 | Tammy Gearhart | Registered Nurse | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-09-01 |
| 1588017131 | Jeffrey Wells | Physical Therapist | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-07-19 |
| 1801254792 | Ashley Curtis | Nurse Practitioner | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-02-05 |
| 1053778514 | Darlene Seck | Dietitian, Registered | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| 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 |
|---|---|---|---|---|
| 1447796925 | Ada Medical Group Pllc | Family Medicine | 1150 N. Hills Center, Ada, OK 74820 | 2017-01-09 |
| 1982612099 | Sandra Lee Martsching | Family Medicine | 201 9th Street West, Bridges Medical Center, Ada, MN 56510 | 2006-08-04 |
| 1255353611 | Patrick J O'neill | Family Medicine | 1150 North Hills Centre, Ada, OK 74820-1864 | 2006-07-24 |
| 1972561116 | James Francis Wight | Family Medicine | 2901 Arlington St, Ada, OK 74820-2928 | 2006-05-03 |
| 1992763411 | T Steven Ivan | Family Medicine | 530 N Monte Vista St Ste A, Ada, OK 74820-4675 | 2006-05-03 |
| 1942264304 | Guy J Garrett | Family Medicine | 6181 Witherbee Dr Se, Ada, MI 49301-7810 | 2006-04-13 |
| 1881661015 | Robyn D Freeland | Family Medicine | 520 N Monte Vista St, Suite A, Ada, OK 74820-4674 | 2006-03-07 |
| 1760456867 | Lawrence Joseph Kuk Jr. | Family Medicine | 520 W Lincoln Ave, Suite C, Ada, OH 45810-9466 | 2006-02-15 |
| 1174500946 | Joanne Chinnici | Family Medicine | 2513 Timber Ter, Ada, OK 74820-7256 | 2005-12-22 |
| 1093240897 | Keerthana Anand | Family Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2017-04-29 |
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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.