| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHELSEA ELIZABETH SMITH | 1174961486 | 2022-11-19 |
Chelsea Elizabeth Smith is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1174961486. Registration indicates Chelsea Elizabeth Smith is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Adult/Geriatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Chelsea Elizabeth Smith D.O. |
| Practice Office Address | 1373 E BOONE ST STE 2300 TAHLEQUAH, OK US |
| Practice Office Telephone | 9182070025 |
| Practice Office Fax | 9182070226 |
| Mailing Address | 4112 NW 152ND TER EDMOND, OK 730139248 US |
| Business Telephone | 0544615874 |
| Business Fax | 4054462587 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 207R00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | 7084
OK |