| Scott Shadfar, MD | |
|
9433 N Kelley Ave, Oklahoma City, OK 73131-2415 | |
| (405) 871-5757 | |
| (405) 242-0031 |
| Full Name | Scott Shadfar |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 18 Years |
| Location | 9433 N Kelley Ave, Oklahoma City, 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 Hospital | Edmond, OK | Hospital |
| Onecore Health | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integris Ambulatory Care Corporation | 2365408465 | 687 |
| 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 |
| Entity Name | Aesthetic Institute of Oklahoma PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972487254 PECOS PAC ID: 2567967938 Enrollment ID: O20250925003790 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Shadfar, MD 9433 N Kelley Ave, Oklahoma City, OK 73131-2415 Ph: (405) 871-5757 | Scott Shadfar, MD 9433 N Kelley Ave, Oklahoma City, OK 73131-2415 Ph: (405) 871-5757 |
Richard D. Kopke, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 3400 Nw 56th St, Oklahoma City, OK 73112 Phone: 405-946-5563 Fax: 405-947-6226 |
Dr. Elena Beth Woodson, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9900 Broadway Ext Ste 200, Oklahoma City, OK 73114 Phone: 405-608-8833 Fax: 405-608-8818 |
Dr. John R Houck Jr., MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th Street, Department Of Surgery, Oklahoma City, OK 73104 Phone: 405-456-3409 Fax: 405-456-5952 |
Dr. Scott Walen, M.D., FRCSC Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 825 Ne 10th St, Oklahoma City, OK 73104 Phone: 405-271-1368 |
Jesus E Medina, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 825 Ne 10th St # 4200, Oklahoma City, OK 73104 Phone: 405-271-7559 |
Jimmy Argo, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5504 |
Perry M. Santos, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 3435 Nw 56th St, Bldg A, Suite 412, Oklahoma City, OK 73112 Phone: 405-945-4325 Fax: 405-945-4327 |