GLENN L SMITH (NPI# 1740209170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740209170 |
| Entity Type | Individual |
| Full Name | GLENN L SMITH |
| Credential | D.O. |
| Practice Address |
2149 Sw 59th St Suite 101 Oklahoma City OK 73119-7033 |
| Practice Telephone | 4056824651 |
| Practice Fax Number | 4056823391 |
| Mailing Telephone | 4056824651 |
| Mailing Fax Number | 4056823391 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2010-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1667 | OK | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BLUE CROSS BLUE SHIELD | 731079803001 | 01 |
| OK | FEDERAL TAX ID # | 731079803 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871702183 | Glenn Alan Smith | Recreation Therapist | 88 Circle Dr, Millington, NJ 07946-1708 | 2007-05-22 |
| 1881733426 | Glenn Owen Smith | Dentist | 21320 Hawthorne Blvd Ste 202, Torrance, CA 90503-5668 | 2007-02-06 |
| 1588624928 | Glenn F Smith | Chiropractor | 418 W. Meadows Dr, Freeport, IL 61032 | 2006-03-27 |
| 1861976599 | Glenn Smith | Counselor | 1 Leo Moss Dr Ste 4308, Olean, NY 14760-1100 | 2018-09-19 |
| 1447564869 | Glenn Douglas Smith | Counselor | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2010-07-27 |
| 1508060062 | Glenn Bona Smith | Physical Therapist | 170 N 1100 E, American Fork, UT 84003-2096 | 2007-06-11 |
| 1649391467 | Glenn Smith | Dentist | 108 N Main St, Montpelier, IN 47359-1132 | 2007-04-02 |
| 1124160288 | Glenn Edward Smith | Registered Nurse | 1431 Sw 1st Avenue, Ocala, FL 34471 | 2007-02-13 |
| 1023156684 | Glenn C Smith Jr. | Pharmacist | 9080 Brooks Rd S, Windsor, CA 95492-7811 | 2007-02-02 |
| 1295842409 | Glenn A Smith | Family Medicine | 2219 Garfield St, Two Rivers, WI 54241 | 2006-08-24 |
| Street Address |
2149 SW 59TH ST SUITE 101 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73119-7033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154382299 | Henry M Allen | Specialist | 2149 Sw 59th St, Suite 104, Oklahoma City, OK 73119-7033 | 2006-03-29 |
| 1013207505 | Oklahoma Pain & Rehab LLC | Internal Medicine | 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119-7033 | 2011-04-18 |
| 1114236759 | Southwest Family Clinic | Neuromusculoskeletal Medicine & OMM | 2149 Sw 59th St, Suite 101, Oklahoma City, OK 73119-7033 | 2010-09-30 |
| 1215259882 | Michael H.mowdy D.o Inc | Internal Medicine | 2149 Sw 59th St, Suite 203, Oklahoma City, OK 73119-7033 | 2010-02-23 |
| 1427292465 | South Oklahoma Orthopedics Inc. | Orthopaedic Surgery | 2149 Sw 59th St, 102, Oklahoma City, OK 73119-7033 | 2009-04-21 |
| 1295977064 | Western Medical Associates | Clinic/Center | 2149 Sw 59th St, Suite No. 104, Oklahoma City, OK 73119-7033 | 2009-03-25 |
| 1902088388 | Maria D Coffey | Occupational Therapist | 2149 Sw 59th St, 201, Oklahoma City, OK 73119 | 2007-11-28 |
| 1174729834 | Associated Orthopedics, Inc | Orthopaedic Surgery | 2149 Sw 59th St, Suite 101, Oklahoma City, OK 73119-7033 | 2007-06-21 |
| 1881768414 | Joe M Beasley | Physician Assistant | 2149 Sw 59th St, Suite 101, Oklahoma City, OK 73119-7033 | 2006-11-17 |
| 1568544062 | Advanced Occupational Rehabilitation, Inc | Family Medicine | 2149 Sw 59th St, Oklahoma City, OK 73119-7033 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376064592 | Focus Optical Inc. | Technician/Technologist | 12444 Nw 10th St, Bldg H Ste 101, Oklahoma City, OK 73119 | 2017-06-28 |
| 1730561176 | Elaine C Cheatham | Case Manager/Care Coordinator | 2124 Sw 48th Street, Oklahoma City, OK 73119 | 2015-06-22 |
| 1215326038 | Life and Hope Counseling LLC | Counselor | 2212 Sw 55th St, Okc, OK 73119 | 2015-01-16 |
| 1063761179 | Virginia Sanchez | Counselor | 2508 Sw 56th Street, Oklahoma City, OK 73119 | 2012-09-05 |
| 1720367493 | Hilarie Dawn Danner | Counselor | 2434 Sw 44 St., Oklahoma City, OK 73119 | 2011-08-11 |
| 1265630032 | Optics Inc Economy Square Optical | Technician/Technologist | 1605 Sw 59, Donnas Optical, Ok City, OK 73119 | 2007-07-03 |
| 1659441228 | Terrance Patrick Mcdermott | Family Medicine | 2536 Sw 29th Street, Mcdermott Clinic, Oklahoma City, OK 73119 | 2006-11-09 |
| 1336245679 | Christos Dimas | Internal Medicine | 2716 Sw 44th, Oklahoma City, OK 73119 | 2006-09-15 |
| 1073625299 | Nathan Dennis Schacter | Chiropractor | 2228 Sw 59th, Oklahoma City, OK 73119 | 2006-09-01 |
| 1548289655 | John Bernard Hughes Jr. | Orthopaedic Surgery | 2149 Southwest 59th Street, Suite 102, Oklahoma City, OK 73119 | 2006-07-19 |
| Find all providers in zip 73119 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932634789 | Suboxone Solutions LLC | Specialist | 10813 N Macarthur Blvd Ste W, Oklahoma City, OK 73162-6904 | 2017-04-28 |
| 1245656461 | Chris Kunkel | Specialist | 2900 Purdue Dr, Oklahoma City, OK 73128-5808 | 2014-03-12 |
| 1235554338 | Megan Peters | Specialist | 8521 N Eastern Ave, Oklahoma City, OK 73131-4031 | 2014-02-26 |
| 1821332438 | Tsa Eshelle King | Specialist | 1330 N Classen Blvd Ste 307, Oklahoma City, OK 73106-6834 | 2012-11-20 |
| 1841542859 | Tempest Johann Johnson | Specialist | 1210 Sw 77th Ter, Oklahoma City, OK 73139-2439 | 2012-10-15 |
| 1861753956 | Rickey Lee Great | Specialist | 834 Ne 36th St, Oklahoma City, OK 73105-7206 | 2012-06-05 |
| 1154689487 | Connie L Burch | Specialist | 3112 Nw Expressway Apt 115, Oklahoma City, OK 73112-4016 | 2012-04-24 |
| 1437433125 | Virginia Parrish | Specialist | 222 E Sheridan Ave, Oklahoma City, OK 73104-4233 | 2011-09-29 |
| 1356650675 | Richard C. Greyson, M.d., A Professional Corporation | Specialist | 1110 N Classen Blvd Ste 301, Oklahoma City, OK 73106-6842 | 2010-10-04 |
| 1992017420 | Maurice Upshaw Jr. | Specialist | 3035 Nw 63rd St Ste 201n, Oklahoma City, OK 73116-3606 | 2010-07-13 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73119 |
Please comment or provide details below to improve the information on GLENN L 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.