MEDICARE: OKLAHOMA CITY MEDICAL INSTITUTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3468	OK
2	111N00000X	Chiropractor	8074	TX
3	207Q00000X	Family Medicine Physician	19088	OK

General Provider Information

NPI Number	:	1972700953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OKLAHOMA CITY MEDICAL INSTITUTE

Provider Business Mailing Address
First Line	:	PO BOX 20609
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73156-0609
Country	:	US
Telephone Number	:	405-755-8000
Fax Number	:	405-755-8001

Provider Business Practice Location Address
First Line	:	9402 N MAY AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-2701
Country	:	US
Telephone Number	:	405-755-8000
Fax Number	:	405-755-8001

Authorized Official
Title or Position	:	OWNER
Name	:	KRIS WAYNE SCHMIDT
Credential	:	D.C.
Telephone Number	:	405-755-8000

Provider Enumeration Date	:	07/02/2007
Last Update Date	:	08/03/2007

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Directions to “OKLAHOMA CITY MEDICAL INSTITUTE ” Practice Location

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