| Stephen Shannon, MD | |
|
395200 W 2900 Rd, Ochelata, OK 74051-2463 | |
| (918) 535-6000 | |
| (918) 535-2697 |
| Full Name | Stephen Shannon |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 395200 W 2900 Rd, Ochelata, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780267625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 38177 (Oklahoma) | Primary |
| Entity Name | St John Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Shannon, MD 395200 W 2900 Rd, Ochelata, OK 74051-2463 Ph: (918) 535-6000 | Stephen Shannon, MD 395200 W 2900 Rd, Ochelata, OK 74051-2463 Ph: (918) 535-6000 |
Gregory S. Brooks, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 395200 W 2900 Rd, Ochelata, OK 74051 Phone: 918-535-6000 | |
Brandon Hart, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 395200 W 2900 Rd, Ochelata, OK 74051 Phone: 918-535-6000 | |
Dr. Amanda Bighorse, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 395200 W 2900 Rd, Ochelata, OK 74051 Phone: 918-535-6000 | |
Dr. Amanda Ruth Gorden Green, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 395200 W 2900 Rd, Ochelata, OK 74051 Phone: 918-535-6000 Fax: 918-535-2694 |