| Stanley Shadid, MD | |
|
3030 N W 164th St. Suite 101, Edmond, OK 73013 | |
| (405) 252-8761 | |
| (405) 272-8762 |
| Full Name | Stanley Shadid |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 3030 N W 164th St. Suite 101, 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 |
|---|---|---|---|
| 1386904183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29130 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital, Llc | Oklahoma city, OK | Hospital |
| Integris Health Edmond | Edmond, OK | Hospital |
| O U Medical Center | Oklahoma city, OK | Hospital |
| Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
| Integris Southwest Medical Center | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Physicians Group, Llc | 8325950603 | 87 |
| Entity Name | The Physicians Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487620381 PECOS PAC ID: 8325950603 Enrollment ID: O20031104000641 |
| 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 | Emergency Services Of Oklahoma Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Entity Name | Oklahoma Hospital Medicine Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871113761 PECOS PAC ID: 9830510023 Enrollment ID: O20200526000785 |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley Shadid, MD 5300 N Independence Ave, Suite 280, Oklahoma City, OK 73112-5556 Ph: (405) 715-5300 | Stanley Shadid, MD 3030 N W 164th St. Suite 101, Edmond, OK 73013 Ph: (405) 252-8761 |
Dr. Kelsey Keoppel, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4509 Integris Pkwy Ste 200, Edmond, OK 73034 Phone: 405-657-3950 Fax: 405-471-0040 | |
Mrs. Chelsea Renee Lowery, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2557 Old Timbers Dr., Edmond, OK 73034 Phone: 405-669-2600 Fax: 405-500-1232 | |
Dr. Franklin Cleo Davis, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1208 W 15th St, Edmond, OK 73013 Phone: 405-340-2100 Fax: 405-340-1184 | |
Dr. Sara Elaine Burnett, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1208 W 15th St, Edmond, OK 73013 Phone: 405-340-2100 Fax: 405-340-2100 | |
Carla A Werner, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 16400 N May Ave, Edmond, OK 73013 Phone: 405-471-6800 Fax: 405-471-6811 | |
Dr. Jenny Le, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2611 Kelley Pointe Pkwy, Edmond, OK 73013 Phone: 405-359-0919 | |
Julia Vang, APRN-CNP Family Medicine Medicare: Medicare Enrolled Practice Location: 1601 S Boulevard Ste 108, Edmond, OK 73013 Phone: 405-348-9904 Fax: 833-470-1448 |