Active NPI
Shea Pelham Pielsticker, MD
- Emergency Medicine Physician
- Yukon, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 33202
- Practice address
- 709 N Czech Hall Rd
Yukon, OK 73099-7897 - Phone
- (405) 494-8600
- Fax
- (405) 494-8600
- NPI assigned
- Jun 7, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33202 | OK | |
| Emergency Medicine Physician | 207P00000X | 33202 | OK | Primary |
Addresses
Primary practice location
709 N Czech Hall Rd
Yukon, OK 73099-7897
Mailing address
709 N Czech Hall Rd
Yukon, OK 73099-7897
Phone (405) 494-8600
Other practice location 1
3025 SW 104th St
Oklahoma City, OK 73159-7036
Phone (405) 300-7740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200722001509 | OK | Practitioner - Emergency Medicine | 2769755305 | Reassigns benefits to 4 organizations |
| I20250729001920 | AR | Practitioner - Emergency Medicine | 2769755305 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Oklahoma College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 2ND Ave SW
Miami, OK 74354-6830
Phone (918) 542-6611
3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (479) 553-1000
4050 W Memorial Rd
Oklahoma City, OK 73120-8382
Phone (405) 608-3200
600 S Monroe St
Enid, OK 73701-7211
Phone (580) 233-2300
Hospital & facility affiliations
- Integris Health Enid Hospital
- Ascension St John Broken Arrow
- Integris Miami Hospital
- Ascension St John Sapulpa
- Integris Grove Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33202 | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians of Midwest City, LLC | Emergency Medicine | Current | Accepting new patients |
| Springdale- Bentonville HBP Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Emergency Services of Oklahoma PC | Emergency Medicine | Current | Accepting new patients |
| South Central Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Tulsa County, LLC | Emergency Medicine | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Integris Grove Hospital | Past | Accepting new patients | |
| Integris Miami Hospital | Past | Accepting new patients | |
| Integris Bass Baptist Health Center | Past | Accepting new patients |
Locations
3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524
1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000
100 N 30th St
Clinton, OK 73601
Phone (580) 323-2363
600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300
200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113
3025 SW 104th St
Oklahoma City, OK 73159
Phone (405) 300-7740
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
900 NE 10th St
#2102
Oklahoma City, OK 73104
Phone (405) 271-2230
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
900 17th St
Woodward, OK 73801
Phone (405) 610-4411
1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800
709 N Czech Hall Rd
Yukon, OK 73099
Phone (405) 271-6911
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
Emergency Medicine, OK
-
- Emergency Medicine Physician
- Stillwater, OK
- NPI 1558663724
Emergency Medicine, OK
-
- Neonatal-Perinatal Medicine Physician
- Bentonville, AR
- NPI 1811762701
AR, Emergency Medicine
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1003098773
Emergency Medicine, OK
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1558386474
Emergency Medicine, OK
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- General Acute Care Hospital
- Enid, OK
- NPI 1144236571
-
- General Acute Care Hospital
- Grove, OK
- NPI 1467473579
-
- General Acute Care Hospital
- Miami, OK
- NPI 1114931342
Hospital & facility affiliations 7
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": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1104355718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 N CZECH HALL RD",
"city": "YUKON",
"state": "OK",
"postal_code": "730997897",
"telephone_number": "405-494-8600",
"fax_number": "405-494-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 N CZECH HALL RD",
"city": "YUKON",
"state": "OK",
"postal_code": "730997897",
"telephone_number": "405-494-8600",
"fax_number": "405-494-8600"
}
],
"practiceLocations": [
{
"address_1": "3025 SW 104th St",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731597036",
"country_code": "US",
"telephone_number": "405-300-7740",
"fax_number": "405-300-7731",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIELSTICKER",
"first_name": "SHEA",
"middle_name": "PELHAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-07",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "33202",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "33202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.