LONNIE V. SMITH (NPI# 1063474344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063474344 |
| Entity Type | Individual |
| Full Name | LONNIE V. SMITH |
| Credential | PA |
| Practice Address |
4300 W Memorial Rd Er Dept. Oklahoma City OK 73120-8304 |
| Mailing Address |
2115 Parkview Dr El Reno OK 73036-2109 |
| Practice Telephone | 4057523715 |
| Practice Fax Number | 4059365058 |
| Mailing Telephone | 4052951166 |
| Mailing Fax Number | 4052951334 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2015-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 698 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100117880A | 05 | |
| OK | 100117880B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811354426 | Lonnie Smith | Social Worker | 1199 E. Russ Rd, Apt/ E-1, Greenville, OH 45331 | 2016-01-27 |
| 1659760148 | Lonnie Smith | Counselor | 600 N Pinetta Dr, North Chesterfield, VA 23235-4924 | 2015-01-21 |
| 1801429949 | Lonnie Eugene Smith | Hearing Instrument Specialist | 2800 Ross Clark Cir, Dothan, AL 36301-2040 | 2020-02-18 |
| 1295257574 | Lonnie Gene Smith | Massage Therapist | 1904 Sky Park Dr, Medford, OR 97504-4735 | 2017-07-08 |
| 1447685433 | Lonnie Rae Smith | Behavioral Analyst | 811 Ne 112th Ave Ste 106, Vancouver, WA 98684-5115 | 2013-09-09 |
| 1902126659 | Lonnie W. Smith Jr. | Counselor | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2010-06-04 |
| 1992817936 | Lonnie Ray Smith | Otolaryngology | 1066 N Cherry St, Tulare, CA 93274-2251 | 2006-08-31 |
| 1750388104 | Lonnie Doyle Smith | Pharmacist | 50 N Medical Dr, Rm Pa455, Salt Lake City, UT 84132-0001 | 2005-06-30 |
| Street Address |
4300 W MEMORIAL RD ER DEPT. |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-8304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356348171 | Astrid Elizabeth Morrison | Radiology | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2005-07-07 |
| 1922623123 | Jose Manuel Rojas | Health Educator | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2020-06-12 |
| 1558982942 | Kaylee Nicole Tyson | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2020-04-27 |
| 1417591108 | Jennifer Anne Aljoe | Physician Assistant | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-11-05 |
| 1750934469 | Jaylin Marie Brophy | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-07-22 |
| 1275193997 | Emily Duggan | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-06-14 |
| 1962061721 | Holly Keller | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-06-06 |
| 1750947842 | Maren Hinshaw | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-05-14 |
| 1518523786 | Kathryn Elizabeth Drakeford | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-05-14 |
| 1760048052 | Kaycee Hammack | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517168 | Madeleine Hill | Physician Assistant | 5304 N Hudson Ave, Oklahoma City, OK 73118-6232 | 2020-10-28 |
| 1003414673 | Stephanie Ann Stephens | Physician Assistant | 5021 Eric Dr, Oklahoma City, OK 73135-4129 | 2020-10-15 |
| 1336786557 | Chad Tiaden | Physician Assistant | 940 Ne 13th St Ste 2300, Oklahoma City, OK 73104-5008 | 2019-12-06 |
| 1588209837 | Kathryn Lynn Lane | Physician Assistant | 737 Sw 157th St, Oklahoma City, OK 73170-7688 | 2019-11-11 |
| 1760025845 | Robert Eugene Curling | Physician Assistant | 3435 Nw 56th St Ste 909, Oklahoma City, OK 73112-4400 | 2019-10-22 |
| 1740831486 | Aliina Ann O'toole | Physician Assistant | 1200 Childrens Ave Ste 8305, Oklahoma City, OK 73104-4637 | 2019-09-24 |
| 1093375271 | Alison Suezan Barton | Physician Assistant | 13401 N Western Ave Ste 210, Oklahoma City, OK 73114-1410 | 2019-06-19 |
| 1376100750 | Katelyn Taylor Bant | Physician Assistant | 6001 S Sooner Rd, Ste A, Oklahoma City, OK 73135-5601 | 2019-05-21 |
| 1538726997 | Mariah Paige Melton | Physician Assistant | 4400 Hemingway Dr Apt 251, Oklahoma City, OK 73118-2241 | 2019-05-21 |
| 1336703123 | Soni Simer | Physician Assistant | 11601 Kingswick Dr, Oklahoma City, OK 73162-2918 | 2019-04-26 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
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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.