| Jonathan James Smith, PA-C | |
|
415 W Guy Ave, Pauls Valley, OK 73075-3200 | |
| (405) 238-1170 | |
| Not Available |
| Full Name | Jonathan James Smith |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 415 W Guy Ave, Pauls Valley, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477823342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 2096 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loving Care In-home Health Services, L.l.c. | Noble, OK | Home health agency |
| Norman Regional | Norman, OK | Hospital |
| Ou Health University Of Oklahoma Medical Center | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Classen Family Practice Llc | 8729215025 | 10 |
| Entity Name | Classen Urgent Care Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427337518 PECOS PAC ID: 3577737881 Enrollment ID: O20111123000414 |
| Entity Name | Classen Family Practice LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861732992 PECOS PAC ID: 8729215025 Enrollment ID: O20131212000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan James Smith, PA-C 415 W Guy Ave, Pauls Valley, OK 73075-3200 Ph: (405) 238-1170 | Jonathan James Smith, PA-C 415 W Guy Ave, Pauls Valley, OK 73075-3200 Ph: (405) 238-1170 |
Mrs. Julie Lynn Bowring, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 105 N Indian Meridian Rd, Pauls Valley, OK 73075 Phone: 405-207-9800 Fax: 405-207-9898 |