Stephen Shannon, MD | |
395200 W 2900 Rd, Ochelata, OK 74051-2463 | |
(918) 535-6000 | |
(918) 535-2697 |
Full Name | Stephen Shannon |
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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 |
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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 | |
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 |