NPIMap

Individual provider Active NPI

Stephen W Snell III, M.D.

  • Otolaryngology Physician
  • Lawton, OK
National Provider Identifier
1083616247
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
19315 Issued in OK
Practice address
5402 SW Lee Blvd
Lawton, OK 73505-9521
Phone
(580) 531-0022
Fax
(580) 531-0026
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 19315 OK Primary

Addresses

Primary practice location

5402 SW Lee Blvd
Lawton, OK 73505-9521

Mailing address

5402 SW Lee Blvd.
Lawton, OK 73505-6121
Phone (580) 531-0022

Other identifiers 1

IdentifierTypeStateIssuer
100074780AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, AR3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100301000501 OK Practitioner - OtolaryngologyPractitioner - Sleep Medicine 7315994852 Reassigns benefits to 1 organization
I20101122000135 TX Practitioner - Otolaryngology 7315994852 Reassigns benefits to 1 organization
I20110726000960 AR Practitioner - OtolaryngologyPractitioner - Other (Physician) 7315994852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Sleep Medicine
Education
University of Arkansas College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT of Oklahoma PLLCGroup PAC ID 5799732236, 5 clinicians

Practice addresses (Care Compare)

5402 SW Lee Blvd
Lawton, OK 73505-9521
Phone (580) 531-0022

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19315OHMDDentist
19315OKMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Oct 1, 2010 Accepting new patients
Mercy Hospital Booneville CurrentSince Jul 8, 2019 Accepting new patients
ENT of Oklahoma PLLC Otolaryngology CurrentSince Jul 1, 2000 Accepting new patients
Mercy Hospital Booneville CurrentSince Jul 8, 2019 Accepting new patients
Cherokee Nation Current Accepting new patients
Mercy Hospital Booneville Current Accepting new patients
Cherokee Nation CurrentSince Oct 1, 2010 Accepting new patients
Cherokee Nation Current Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Southwestern Medical Center, LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients
Kiowa County Hospital Authority Past Accepting new patients
Grady Memorial Hospital Past Accepting new patients
Comanche County Hospital Authority Past Accepting new patients

Locations

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

501 E 5th St
Bartlesville, OK 74003
Phone (918) 336-0823

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

5402 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-0022

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • Direct secure messaging: ssnell201637@directb.mercy.net

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1083616247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 SW LEE BLVD.",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056121",
            "telephone_number": "580-531-0022",
            "fax_number": "580-531-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059521",
            "telephone_number": "580-531-0022",
            "fax_number": "580-531-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELL",
        "first_name": "STEPHEN",
        "middle_name": "W",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "19315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100074780A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.