Active NPI
Shiloah Adam Stover, D.C.
- Chiropractor
- Elk City, OK
National Provider Identifier
1417959883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3755
- Practice address
- 901 N Main St
Elk City, OK 73644-2828 - Phone
- (508) 225-9944
- Fax
- (580) 225-9943
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3755 | OK | Primary |
Addresses
Primary practice location
901 N Main St
Elk City, OK 73644-2828
Mailing address
PO Box 48
Elk City, OK 73648-0048
Phone (580) 225-9944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
901 N Main St
Elk City, OK 73644-2828
Phone (580) 225-9944
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stover Family Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
| Summit Medical Center | Past | Accepting new patients |
Locations
901 N Main St
Elk City, OK 73644
Phone (580) 225-9944
1710 W 3rd St
Ste 102
Elk City, OK 73644
Phone (580) 225-5365
Organizations & group practices 2
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.
-
- Chiropractor
- Elk City, OK
- NPI 1932382462
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585612800000",
"number": "1417959883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 48",
"city": "ELK CITY",
"state": "OK",
"postal_code": "736480048",
"telephone_number": "580-225-9944",
"fax_number": "580-225-9943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N MAIN ST",
"city": "ELK CITY",
"state": "OK",
"postal_code": "736442828",
"telephone_number": "508-225-9944",
"fax_number": "580-225-9943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVER",
"first_name": "SHILOAH",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "3755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.