Dr Anthony Lee Shelton, | |
1214 Arlington St, Ada, OK 74820-4045 | |
(580) 436-5111 | |
(580) 436-1159 |
Full Name | Dr Anthony Lee Shelton |
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Gender | Male |
Speciality | Internal Medicine |
Location | 1214 Arlington St, Ada, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992365597 | NPI | - | NPPES |
34719 | Other | OK | OKLAHOMA BOARD OF MEDICAL LICENSURE AND SUPERVISION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 34719 (Oklahoma) | Secondary |
207R00000X | Internal Medicine | 34719 (Oklahoma) | Primary |
Entity Name | Central Oklahoma Family Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831291293 PECOS PAC ID: 9931189685 Enrollment ID: O20040722001013 |
Mailing Address | Practice Location Address |
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Dr Anthony Lee Shelton, 527 W 3rd St, Konawa, OK 74849-1415 Ph: (580) 925-3286 | Dr Anthony Lee Shelton, 1214 Arlington St, Ada, OK 74820-4045 Ph: (580) 436-5111 |
Gary L Paddack, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 902 Arlington Ctr, Pmb 224, Ada, OK 74820 Phone: 580-436-2262 Fax: 580-272-0186 | |
Dr. Shirley J Welden, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570 | |
Dr. Shrina Parekh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-301-6465 | |
Elizabeth Omojasola Omoniyi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 N Monte Vista St Ste A, Ada, OK 74820 Phone: 580-453-3545 Fax: 580-453-3546 | |
Steven Louis Fillmore, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570 | |
Dr. Quyen Thanh Ha, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 N Monte Vista St, Valley View Reg Hospital Wound Care Center, Ada, OK 74820 Phone: 580-272-1731 Fax: 580-272-1720 | |
Jerry S Morgan, M D L L C Internal Medicine Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-272-2708 |