Shane E Stidham, Md, Pllc

LBN: Shane E Stidham, Md, Pllc
Shane E Stidham, Md, Pllc is an health care organization with primary practice located at 3650 W Rock Creek Rd Suite 100, Norman OK 73072-2202. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Shane E Stidham, Md, Pllc can be contacted via phone (405) 701-3418, or through Stidham, Shane Edward via phone (405) 701-3418.

Contact Information

Primary practice address
3650 W Rock Creek Rd Suite 100 Norman OK 73072-2202
Phone: (405) 701-3418
Fax: (405) 701-3451
Website:
Map and Directions
Authorized official contact:
Name: Stidham, Shane Edward Doctor of Medicine (MD)
Phone: (405) 701-3418

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 22913 Oklahoma

Profile Details

NPI number 1912178872
LBN Legal business name Shane E Stidham, Md, Pllc
DBA Doing business as
Authorized official Stidham, Shane Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2008
Last updated May 10th, 2011 - about 15 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 1912178872 NPPES
Oklahoma MEDICAID 200197030A

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