Active NPI
Shawn E. Minor, D.O.
- Addiction Medicine (Preventive Medicine) Physician
- Tahlequah, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- License
- 3974
- Practice address
- 19600 E Ross St
Tahlequah, OK 74464-0545 - Phone
- (918) 506-7559
- NPI assigned
- Sep 21, 2005
- Last updated
- Sep 17, 2026
- 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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 3974 | OK | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | 3974 | OK | Primary |
Addresses
Primary practice location
19600 E Ross St
Tahlequah, OK 74464-0545
Mailing address
1717 S Utica Ave Ste a
Tulsa, OK 74104-5346
Phone (866) 321-8433
Other practice location 1
1200 N Muskogee Pl
Claremore, OK 74017-3058
Phone (918) 341-2556
Other practice location 2
1334 N Lansing Ave
Tulsa, OK 74106-5907
Phone (918) 587-2171
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Oklahoma State University College of Osteopathic Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Morton Comprehensive Health Services Inc
Practice addresses (Care Compare)
1334 N Lansing Ave
Tulsa, OK 74106-5907
Phone (918) 587-2171
1717 S Utica Ave
Suite a
Tulsa, OK 74104-5346
Phone (918) 748-1300
1910 S Falcon Ave
Claremore, OK 74019-2237
Phone (918) 343-6855
402 W Morrow Rd
Sand Springs, OK 74063-6549
Phone (918) 245-1119
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.51 of 100
- Quality
- 84.87
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3974 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Tulsa County, LLC | Current | Accepting new patients | |
| St John Urgent Care Clinics Inc | Current | Accepting new patients | |
| St. John Physicians, Inc | Current | Accepting new patients | |
| Morton Comprehensive Health Services, Inc | Current | Accepting new patients | |
| St. John Physicians, Inc. | Current | Accepting new patients | |
| Morton Comprehensive Health Services, Inc | Current | Accepting new patients | |
| Morton Comprehensive Health Services, Inc. | Current | Accepting new patients | |
| Norstar Emergency Physicians | Emergency Medical Services | Past | Accepting new patients |
| Seminole Health Center LLC | Past | Accepting new patients | |
| Southcrest Emergency Physicians PC | Emergency Medical Services | Past | Accepting new patients |
| St. John Broken Arrow, Inc | Past | Accepting new patients |
Locations
1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000
1004 E Bryan Ave
Sapulpa, OK 74066
Phone (918) 224-4280
10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000
1334 N Lansing Ave
Tulsa, OK 74106
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1717 S Utica Ave
Ste A
Tulsa, OK 74104
Phone (918) 748-1300
Interoperability endpoints
- shawn.minor@direct.stjohnhealthsystem.com
Organizations & group practices 11
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.
-
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1003918830
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1003098773
-
- Federally Qualified Health Center (FQHC)
- Tulsa, OK
- NPI 1275528085
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Federally Qualified Health Center (FQHC)
- Tulsa, OK
- NPI 1457166522
-
dba Nowata Family Health Center
- Federally Qualified Health Center (FQHC)
- Nowata, OK
- NPI 1538155163
-
dba Siggins Memorial Clinic
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- Emergency Medical Services (Emergency Medicine) Physician
- Norman, OK
- NPI 1093709537
-
dba Seminole Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Seminole, OK
- NPI 1144278920
-
- Emergency Medical Services (Emergency Medicine) Physician
- Tulsa, OK
- NPI 1205816048
-
dba Ascension St. John Jenks
- General Acute Care Hospital
- Broken Arrow, OK
- NPI 1497988596
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
-
dba Ascension St. John Jenks
- General Acute Care Hospital
- Broken Arrow, OK
- NPI 1497988596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1366438715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 S UTICA AVE STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741045346",
"telephone_number": "866-321-8433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19600 E ROSS ST",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744640545",
"telephone_number": "918-506-7559"
}
],
"practiceLocations": [
{
"address_1": "1200 N Muskogee Pl",
"address_purpose": "LOCATION",
"city": "Claremore",
"state": "OK",
"postal_code": "740173058",
"country_code": "US",
"telephone_number": "918-341-2556",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1334 N Lansing Ave",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741065907",
"country_code": "US",
"telephone_number": "918-587-2171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINOR",
"first_name": "SHAWN",
"middle_name": "E.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "OK",
"license": "3974",
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "OK",
"license": "3974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.