Organization Active NPI

Chris M Sholer, MD PC

  • Nephrology Physician
  • Oklahoma City, OK
National Provider Identifier
1396932406
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
CHRIS M SHOLER, MD PC
Practice address
4334 NW Expressway Ste 106
Oklahoma City, OK 73116-1515
Phone
(405) 842-8298
Fax
(405) 842-8697
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Dr. Chris M Sholer, MDNPI 1326047226
Title
Owner
Phone
(405) 842-8298

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

4334 NW Expressway Ste 106
Oklahoma City, OK 73116-1515

Mailing address

PO Box 21556
Oklahoma City, OK 73156-1556
Phone (405) 842-8298

Other identifiers 1

IdentifierTypeStateIssuer
100738220AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060217000203 OK Part B Supplier - Clinic/Group Practice 4082629605 Receives reassigned benefits from 1 practitioner
Practice locations: Bethany, OK

National Provider Directory

National Provider Directory

Locations

2201 N Glade Ave
#A
Bethany, OK 73008
Phone (405) 842-8298

4334 NW Expressway
Ste 201
Oklahoma City, OK 73116
Phone (405) 842-8298

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1396932406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21556",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731561556",
            "telephone_number": "405-842-8298",
            "fax_number": "405-842-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 NW EXPRESSWAY STE 106",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161515",
            "telephone_number": "405-842-8298",
            "fax_number": "405-842-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS M SHOLER, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "SHOLER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-842-8298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100738220A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.