| Shane D Parks, CRNA | |
|
600 S Monroe St, Enid, OK 73701-7211 | |
| (580) 233-2300 | |
| (580) 233-8802 |
| Full Name | Shane D Parks |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 600 S Monroe St, Enid, 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 |
|---|---|---|---|
| 1588988745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0112095 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Integris Health Enid Hospital | Enid, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergenchealth Pllc | 1355606641 | 1037 |
| Anesthesia Of Enid Llc | 5193823631 | 12 |
| Entity Name | Anesthesia of Enid LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235298241 PECOS PAC ID: 5193823631 Enrollment ID: O20070607000418 |
| Entity Name | Anesthesia Associates of Oklahoma PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770891475 PECOS PAC ID: 7113100470 Enrollment ID: O20110323000735 |
| Entity Name | Emergenchealth PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20190618003098 |
| Entity Name | Four States Anesthesia Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053382929 PECOS PAC ID: 8729973284 Enrollment ID: O20241227003152 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane D Parks, CRNA Po Box 1751, Claremore, OK 74018-1751 Ph: Not Available | Shane D Parks, CRNA 600 S Monroe St, Enid, OK 73701-7211 Ph: (580) 233-2300 |
Paul Waddell Hutson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 S Monroe St, Enid, OK 73701 Phone: 580-233-2300 |
James Ketterman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 305 S 5th St, Enid, OK 73701 Phone: 580-233-6100 |
Shelly Alvarado, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3906 Twilight Ave, Enid, OK 73703 Phone: 580-554-4725 |
Casey J Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 S Monroe St, Enid, OK 73701 Phone: 580-402-2261 Fax: 405-758-5582 |
Ronald Charles Howe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 600 S Monroe St, Enid, OK 73701 Phone: 580-233-2300 |
Mr. Dale Kenneth Denton Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 205 W Maple Ave, Suite 301, Enid, OK 73701 Phone: 580-548-1106 Fax: 580-233-8802 |