NPIMap

Organization Active NPI

Stuart Family Medicine, PLLC

  • Primary Care Clinic/Center
  • Shattuck, OK
National Provider Identifier
1255633822
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
24874 Issued in OK
Legal business name
STUART FAMILY MEDICINE, PLLC
Practice address
905 S. Main Street
Shattuck, OK 73858-0827
Phone
(580) 938-5400
Fax
(580) 938-5409
NPI assigned
Dec 2, 2010
Last updated
Apr 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Dr. Danna K Stuart, M.D.NPI 1891716775
Title
Owner
Phone
(580) 938-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 24874 OK Primary

Addresses

Primary practice location

905 S. Main Street
Shattuck, OK 73858-0827

Mailing address

PO Box 827
Shattuck, OK 73858-0827
Phone (580) 938-5400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1255633822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827",
            "city": "SHATTUCK",
            "state": "OK",
            "postal_code": "738580827",
            "telephone_number": "580-938-5400",
            "fax_number": "580-938-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S. MAIN STREET",
            "city": "SHATTUCK",
            "state": "OK",
            "postal_code": "738580827",
            "telephone_number": "580-938-5400",
            "fax_number": "580-938-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "DANNA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-938-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "24874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shattuck, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.