Individual provider Active NPI

Shanna Elaine Hampton, DO

  • Internal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1285899872
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4642 Issued in OK
Practice address
1145 S Utica Ave
#1105
Tulsa, OK 74104-4000
Phone
(918) 579-5749
Fax
(918) 560-5791
NPI assigned
Jul 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4642 OK Primary

Addresses

Primary practice location

1145 S Utica Ave
#1105
Tulsa, OK 74104-4000

Mailing address

1145 S Utica Ave
#1105
Tulsa, OK 74104-4000
Phone (918) 579-5749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100805000295 OK Practitioner - Internal MedicinePractitioner - Hospitalist 4587797931 Reassigns benefits to 4 organizations
I20200714003559 TX Practitioner - Internal Medicine 4587797931

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tulsa Hospitalists IncGroup PAC ID 5698664894, 6 clinicians

Practice addresses (Care Compare)

1145 S Utica Ave
Suite 460
Tulsa, OK 74104-4041
Phone (918) 392-8884

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Oklahoma, Inc. CurrentSince Jul 30, 2022 Accepting new patients
Thi Specialists LLC Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Midwest Hospital Medicine Associates PC CurrentSince Sep 15, 2012 Accepting new patients

Locations

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

1611 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-3664

1145 S Utica Ave
Ste 460
Tulsa, OK 74104
Phone (918) 392-8884

2440 E 81st St
Tulsa, OK 74137
Phone (918) 392-8856

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1285899872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE",
            "address_2": "#1105",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044000",
            "telephone_number": "918-579-5749",
            "fax_number": "918-560-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE",
            "address_2": "#1105",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044000",
            "telephone_number": "918-579-5749",
            "fax_number": "918-560-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "SHANNA",
        "middle_name": "ELAINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "4642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.