MALCOLM DEREK SMITH DPM PC NPI 1285803049

NPI Information

  • NPI: 1285803049
  • Provider Name: MALCOLM DEREK SMITH, DPM PC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 1700 N 5TH ST
    PONCA CITY, OK
    ZIP 74601
  • Phone: (580) 765-3389

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NPI Details

MALCOLM DEREK SMITH, DPM PC is a podiatrist in Ponca City, OK. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MALCOLM DEREK SMITH, DPM PC NPI is 1285803049. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1700 N 5TH ST
PONCA CITY, OK
ZIP 74601-762
Phone: (580) 765-3389
Fax: (580) 762-3994

The provider's authorized official is Jennifer Rae Smith .
The authorized official title is Office Manager and has the following contact phone number (580) 765-3389.

The enumeration date for this NPI number is 2/26/2008 and was last updated on 2/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist198OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U71325MEDICARE UPINOKLAHOMA
2294540038001OTHEROKLAHOMABLUE CROSS BLUE SHIELD
30607390002MEDICARE NSCOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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