| Dr William Keith Smith Sr, DPM | |
|
1627 N Kickapoo Ave, Shawnee, OK 74804-4313 | |
| (405) 275-8234 | |
| (405) 275-7298 |
| Full Name | Dr William Keith Smith Sr |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1627 N Kickapoo Ave, Shawnee, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629050364 | NPI | - | NPPES |
| 100779540A | Medicaid | OK | |
| P01598909 | Other | OK | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 152 (Oklahoma) | Primary |
| Provider Name | White Eagle Health Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699875724 PECOS PAC ID: 1456324193 Enrollment ID: O20040819000518 |
| Provider Name | Tupper Orthopedics Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821231929 PECOS PAC ID: 6406905801 Enrollment ID: O20090514000019 |
| Provider Name | Prairie Gardens Medical Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689280067 PECOS PAC ID: 6305265877 Enrollment ID: O20201001003324 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Keith Smith Sr, DPM 1627 N Kickapoo Ave, Shawnee, OK 74804-4313 Ph: (405) 275-8234 | Dr William Keith Smith Sr, DPM 1627 N Kickapoo Ave, Shawnee, OK 74804-4313 Ph: (405) 275-8234 |
Smith Podiatric Services Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1627 N Kickapoo Ave, Shawnee, OK 74804 Phone: 405-275-8234 Fax: 405-275-7298 | |
Oklahoma Foot And Ankle Associates Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3700 N Kickapoo Ave Ste 104, Shawnee, OK 74804 Phone: 405-794-6691 Fax: 405-794-9856 | |
Dr. William Keith Smith Jr., DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1627 N Kickapoo Ave, Shawnee, OK 74804 Phone: 405-275-8234 Fax: 405-275-7298 | |
Foot & Ankle Surgeons Of Oklahoma Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 1627 N Kickapoo Ave, Shawnee, OK 74804 Phone: 405-418-4500 Fax: 405-418-4501 |