Individual provider Active NPI

Jeffrey Wayne Shelton, M.D.

  • Diagnostic Radiology Physician
  • Edmond, OK
National Provider Identifier
1194864074
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
24151 Issued in OK
Practice address
21236 Lake Shadows Dr
Edmond, OK 73012-2069
Phone
(405) 200-2663
NPI assigned
Feb 6, 2007
Last updated
May 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 24151 OK
Diagnostic Radiology Physician 2085R0202X 24151 OK Primary

Addresses

Primary practice location

21236 Lake Shadows Dr
Edmond, OK 73012-2069

Mailing address

21236 Lake Shadows Dr
Edmond, OK 73012-2069
Phone (405) 200-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120605000614 OK Practitioner - Diagnostic Radiology 7719141639 Reassigns benefits to 4 organizations
I20120823000396 TX Practitioner - Diagnostic Radiology 7719141639 Reassigns benefits to 14 organizations
I20200131001475 NM Practitioner - Diagnostic Radiology 7719141639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Arkansas College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians
Cherokee NationGroup PAC ID 5799698742, 446 clinicians
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians
Clinton Indian Health CenterGroup PAC ID 2163324237, 74 clinicians
Pawnee Indian Health CenterGroup PAC ID 2769470160, 88 clinicians
Lawton Indian HospitalGroup PAC ID 6406800234, 126 clinicians
Diagnostic Imaging Associates IncGroup PAC ID 8820083645, 88 clinicians
El Reno Indian Health CenterGroup PAC ID 5193627263, 52 clinicians
Anadarko Indian Health CenterGroup PAC ID 7719931559, 47 clinicians
Panhandle Radiology PLLCGroup PAC ID 7315033669, 6 clinicians
Wewoka Indian HealthGroup PAC ID 7517911415, 43 clinicians
Albuquerque Indian Health CenterGroup PAC ID 7719883164, 55 clinicians
Zuni Indian HospitalGroup PAC ID 5698689644, 48 clinicians

Practice addresses (Care Compare)

1 Choctaw Way
Talihina, OK 74571-2022
Phone (539) 316-6391

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

1001 S 41St St E
Three Rivers Health Center
Muskogee, OK 74403-6253
Phone (918) 687-0201

101 S Moore Ave
Claremore, OK 74017-5047
Phone (539) 234-1000

10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333

1020 Lenape Dr
Nowata, OK 74048-4403
Phone (918) 273-0192

10321 N
Suite 2274
Clinton, OK 73601-7521

10321 N 2274 Rd
Clinton, OK 73601-7521
Phone (580) 331-3410

109 Kerr Blvd
Poteau, OK 74953-5231
Phone (539) 316-6391

1127 S George Nigh Expy
Choctaw Nation Health Care McAlester
McAlester, OK 74501-7143
Phone (539) 316-6391

1201 Heritage Cir
Pawnee, OK 74058-3744
Phone (918) 762-2517

1201 W Liberty Rd
Choctaw Nation Health Care Atoka
Atoka, OK 74525-1639
Phone (539) 316-6391

1313 E 20TH St
Okmulgee Indian Health Center
Okmulgee, OK 74447-6303
Phone (918) 591-5700

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone (580) 354-5000

1604 Saratoga Way
Edmond, OK 73003-3550
Phone (918) 935-3550

1800 E Coplin St
Okemah, OK 74859-4642
Phone (918) 623-1424

1801 Chukka Hina
Durant, OK 74701-7117
Phone (539) 316-6391

1801 Parkview Dr
El Reno, OK 73036-2103
Phone (405) 234-5600

201 E Parker McKenzie Dr
Anadarko, OK 73005-5009
Phone (405) 247-7900

2204 E Main STR
Choctaw Nation Health Care Stigler
Stigler, OK 74462-2822
Phone (539) 316-6391

27371 S 4410 Rd
Vinita, OK 74301-7953
Phone (918) 256-4800

301 S J T Stites St
Sallisaw, OK 74955-9302
Phone (918) 775-9150

325 S Washita St
Wetumka Indian Health Center
Wetumka, OK 74883-5522
Phone (918) 756-4333

350 NE 12TH St
Guymon, OK 73942-3624
Phone (580) 338-4224

36640 Hwy 270
Wewoka, OK 74884

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Cherokee Nation CurrentSince Jul 16, 2012 Accepting new patients
Artesia General Hospital CurrentSince Dec 17, 2019 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Aug 6, 2018 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Jun 18, 2021 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Aug 6, 2018 Accepting new patients
Panhandle Radiology PLLC Diagnostic Radiology CurrentSince Aug 15, 2024 Accepting new patients
Medical Resource Management, LLC CurrentSince May 8, 2013 Accepting new patients
Artesia General Hospital CurrentSince Dec 17, 2019 Accepting new patients
Imaging Partners of Tulsa LLC Diagnostic Radiology CurrentSince Jan 7, 2025 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Aug 6, 2018 Accepting new patients
Clinton Indian Health Center CurrentSince Apr 1, 2015 Accepting new patients
Imaging Partners of Tulsa LLC Diagnostic Radiology CurrentSince Sep 19, 2023 Accepting new patients
Oklahoma Diagnostic Imaging LTD CurrentSince Oct 8, 2019 Accepting new patients
Imaging Partners of Tulsa LLC Diagnostic Radiology CurrentSince Sep 15, 2023 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Laguna Healthcare Corporation CurrentSince Sep 24, 2023 Accepting new patients
El Reno Indian Health Center CurrentSince Apr 15, 2020 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Aug 6, 2018 Accepting new patients
Diagnostic Imaging Associates Inc Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Mar 11, 2017 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 25, 2022 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Jul 1, 2019 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Sep 28, 2021 Accepting new patients
Zuni Indian Hospital CurrentSince May 4, 2013 Accepting new patients
Taos Picuris Health Center CurrentSince May 15, 2018 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Aug 31, 2019 Accepting new patients
Pawnee Indian Health Center CurrentSince Nov 4, 2019 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Albuquerque Indian Health Center CurrentSince Jul 12, 2018 Accepting new patients
Wewoka Indian Health CurrentSince Jan 27, 2020 Accepting new patients
Lawton Indian Hospital CurrentSince Jun 1, 2015 Accepting new patients
Contract X-Ray Services, Inc. CurrentSince May 24, 2018 Accepting new patients
Cherokee Nation Current Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Aug 6, 2018 Accepting new patients
Cherokee Nation CurrentSince Jul 16, 2012 Accepting new patients
Anadarko Indian Health Center CurrentSince Jun 1, 2015 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Dec 8, 2014 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Dec 8, 2014 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Aug 6, 2018 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Mar 11, 2017 Accepting new patients
Laguna Healthcare Corporation CurrentSince Sep 24, 2023 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Sep 28, 2021 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Pawnee IHS Pharmacy PastSince Sep 21, 2025 Accepting new patients
Summit Medical Center Past Accepting new patients
Artesia General Hospital Past Accepting new patients
Tulsa MRI LLC Diagnostic Radiology Past Accepting new patients
Choctaw Nation of Oklahoma Past Accepting new patients

Locations (25 of 38)

801 Vassar Dr NE
Albuquerque, NM 87106
Phone (505) 248-4000

612 N 13th St
Ste G
Artesia, NM 88210
Phone (505) 736-8262

702 N 13th St
Artesia, NM 88210
Phone (505) 748-3333

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

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

2544 E Kenosha St
Broken Arrow, OK 74014
Phone (918) 505-2725

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

1600 N Washington Ave
Durant, OK 74701
Phone (580) 740-0205

1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600

350 NE 12th St
Guymon, OK 73942
Phone (580) 338-4224

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

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

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

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

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

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1201 Heritage Cir
Pawnee, OK 74058
Phone (918) 762-2517

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

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

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 49

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

View all 49

Hospital & facility affiliations 9

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1194864074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21236 LAKE SHADOWS DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730122069",
            "telephone_number": "405-200-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21236 LAKE SHADOWS DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730122069",
            "telephone_number": "405-200-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "JEFFREY",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "OK",
            "license": "24151",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "24151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.