Jeffrey R Shuart Md Pc

LBN: Jeffrey R Shuart Md Pc
Jeffrey R Shuart Md Pc is an health care organization with primary practice located at 115 W Bridge Ave , Blackwell OK 74631-2800. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jeffrey R Shuart Md Pc can be contacted via phone (580) 363-3501, or through Shuart, Jeffrey R via phone (580) 363-0052.

Contact Information

Primary practice address
115 W Bridge Ave Blackwell OK 74631-2800
Phone: (580) 363-3501
Fax: (580) 363-3477
Website:
Map and Directions
Authorized official contact:
Name: Shuart, Jeffrey R Doctor of Medicine (MD)
Phone: (580) 363-0052

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18498 Oklahoma

Profile Details

NPI number 1972638773
LBN Legal business name Jeffrey R Shuart Md Pc
DBA Doing business as
Authorized official Shuart, Jeffrey R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Oct 10th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972638773 NPPES
Oklahoma MEDICAID 100751170A

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