Provider Demographics
NPI:1700534252
Name:SMART CHOICE MEDICAL SERVICES
Entity type:Organization
Organization Name:SMART CHOICE MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILSON
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:II
Authorized Official - Credentials:DO
Authorized Official - Phone:918-712-0239
Mailing Address - Street 1:5046 N PEORIA AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74126-3446
Mailing Address - Country:US
Mailing Address - Phone:918-712-0239
Mailing Address - Fax:
Practice Address - Street 1:5046 N PEORIA AVE STE 300
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74126-3446
Practice Address - Country:US
Practice Address - Phone:918-712-0239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Multi-Specialty