| Scott Shadfar, MD | |
|
4509 Integris Pkwy Ste 350, Edmond, OK 73034-8696 | |
| (405) 657-3895 | |
| (405) 657-3896 |
| Full Name | Scott Shadfar |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 17 Years |
| Location | 4509 Integris Pkwy Ste 350, Edmond, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710148283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 31708 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Integris Health Edmond | Edmond, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integris Ambulatory Care Corporation | 2365408465 | 564 |
| Entity Name | Integris Ambulatory Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Shadfar, MD 3001 Quail Springs Pkwy Fl 5, Oklahoma City, OK 73134-2640 Ph: (405) 657-3895 | Scott Shadfar, MD 4509 Integris Pkwy Ste 350, Edmond, OK 73034-8696 Ph: (405) 657-3895 |
Cody M. Anderson, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2017 W I 35 Frontage Rd Ste 140, Edmond, OK 73013 Phone: 801-585-7143 | |
Emily Sue White, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4509 Integris Pkwy Ste 200, Edmond, OK 73034 Phone: 405-657-3950 Fax: 405-471-0040 | |
Dr. Erica Beth Romano, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4509 Integris Pkwy Ste 200, Edmond, OK 73034 Phone: 405-657-3436 Fax: 405-815-6130 | |
Mark W. Wood, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3824 S Boulevard Ste 160, Edmond, OK 73013 Phone: 405-607-7600 Fax: 405-607-3575 | |
Jonathan Martin Pillow, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3824 S Boulevard, Suite 160, Edmond, OK 73013 Phone: 405-562-1810 Fax: 405-562-1816 | |
Dr. Larry Brent Scott, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 608 Liberty Ln, Edmond, OK 73034 Phone: 405-657-3436 Fax: 405-815-6130 |