Jeffrey Robert Shuart, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18498 Issued in OK

Practice address

115 W Bridge Ave
Blackwell, OK 74631-2800

Phone

(580) 363-3501

Fax

(580) 363-3477

NPI assigned

Jun 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Emergency Medicine

Education

University of Oklahoma College of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Central Emergency Services, PCGroup PAC ID 8224212949, 57 clinicians

AMC Urgent Care Plus LLCGroup PAC ID 3971509381, 16 clinicians

Emergency Services of Oklahoma PCGroup PAC ID 8123209012, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Stillwater Medical-Blackwell Hospital, Blackwell, OK, CCN 370780
• Stillwater Medical - Perry Hospital, Perry, OK, CCN 370779
• Integris Community Hospital - Council Crossing Hospital, Oklahoma City, OK, CCN 370240

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: admin@jshuartmdpc.e-mdsdirect.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jshuart523457@direct-ehr-ssmhc.com

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.

• South Central Emergency Services PC

  • Emergency Medicine Physician
  • Stillwater, OK
  • NPI 1558663724
  Medicare reassignment Care Compare group NPD
• AMC Urgent Care Plus, LLC

  • General Practice Physician
  • Ponca City, OK
  • NPI 1285644153
  Medicare reassignment Care Compare group
• Emergency Services of Oklahoma PC

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1215249891
  Medicare reassignment Care Compare group
• Newman Memorial Hospital, Inc

  • Critical Access Hospital
  • Shattuck, OK
  • NPI 1083617807
  Medicare reassignment NPD
• Stillwater Medical Center Authority

  • Family Medicine Physician
  • Stillwater, OK
  • NPI 1558377135
  Medicare reassignment NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762

  OK

  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610

  OK

  Medicare reassignment NPD
• Newman Memorial Hospital, Inc

  • Clinic/Center
  • Mooreland, OK
  • NPI 1497639181
  NPD
• Oklahoma Emergency Physician Partners PLLC

  • Emergency Medicine Physician
  • Durant, OK
  • NPI 1891039764
  NPD
• Stillwater Medical Center Authority

  • Family Medicine Physician
  • Perry, OK
  • NPI 1407729361
  NPD
• Stillwater Medical Center Authority

  • Rural Acute Care Hospital
  • Perry, OK
  • NPI 1003318692
  NPD (past)
• Stillwater Medical Center Authority

  • Rural Acute Care Hospital
  • Blackwell, OK
  • NPI 1104375237
  NPD (past)

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

• Iacc/Ehi NW, LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1194209155
  Care Compare affiliation
• Iacc/Ehi NW, LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1336623198
  Care Compare affiliation
• Iacc/Ehi NW, LLC

  • General Acute Care Hospital
  • Moore, OK
  • NPI 1447734272
  Care Compare affiliation
• Iacc/Ehi NW, LLC

  • General Acute Care Hospital
  • Del City, OK
  • NPI 1942784715
  Care Compare affiliation
• Stillwater Medical Center Authority

  • Rural Acute Care Hospital
  • Perry, OK
  • NPI 1003318692
  Care Compare affiliation
• Stillwater Medical Center Authority

  • Rural Acute Care Hospital
  • Blackwell, OK
  • NPI 1104375237
  Care Compare affiliation

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1114923489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W BRIDGE AVE",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746312800",
            "telephone_number": "580-363-3501",
            "fax_number": "580-363-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W BRIDGE AVE",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746312800",
            "telephone_number": "580-363-3501",
            "fax_number": "580-363-3477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 SE 15th St",
            "address_purpose": "LOCATION",
            "city": "Del City",
            "state": "OK",
            "postal_code": "731153918",
            "country_code": "US",
            "telephone_number": "405-500-3380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 S Rockwell Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731282222",
            "country_code": "US",
            "telephone_number": "405-951-2277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3391 S I 35 Service Rd",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "OK",
            "postal_code": "731603191",
            "country_code": "US",
            "telephone_number": "405-500-3330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9417 N Council Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731626228",
            "country_code": "US",
            "telephone_number": "405-550-3280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUART",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "18498",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "18498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100230950A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lacee Pierson
• Jennifer Elisabeth Prater, DPH
• Robert P London DDS Corp
• Stephanie Dawn Ruminer
• Samuel L Hague MD PC
• James Smith
• Kari Lynne Stephenson
• Stillwater Medical Center Authority
• Stillwater Medical Center Authority
• Shelby Brooke Strong

• Family Medicine Physician in Blackwell, OK
• Providers in Blackwell, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.

Verify at the official NPI Registry.