| Smh Physician Group, Llc | |
|
213 E Redwood Ave Sallisaw OK 74955-2811 | |
| (918) 774-1100 | |
| (918) 774-1103 |
| Full Name | Smh Physician Group, Llc |
|---|---|
| Speciality | General Practice |
| Location | 213 E Redwood Ave, Sallisaw, Oklahoma |
| Authorized Official Name and Position | Debra R. Knoke (CEO) |
| Authorized Official Contact | 9187741100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smh Physician Group, Llc 213 E Redwood Ave Sallisaw OK 74955-2811 Ph: (918) 774-1100 | Smh Physician Group, Llc 213 E Redwood Ave Sallisaw OK 74955-2811 Ph: (918) 774-1100 |
| NPI Number | 1497093959 |
|---|---|
| Provider Enumeration Date | 01/17/2013 |
| Last Update Date | 10/12/2015 |
| Medicare PECOS PAC ID | 9830337260 |
|---|---|
| Medicare Enrollment ID | O20130524000328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497093959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 2189 (Oklahoma) | Primary |
| Provider Name | Rick L Robbins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821072570 PECOS PAC ID: 4385667906 Enrollment ID: I20060110000735 |
| Provider Name | Christopher W Orendorff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922233618 PECOS PAC ID: 0648468405 Enrollment ID: I20101220001211 |
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