Shockey Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18264 Issued in OK

Legal business name

SHOCKEY INTERNAL MEDICINE PC

Practice address

2419 Chickasaw Blvd
Ardmore, OK 73401-1466

Phone

(580) 223-6767

Fax

(580) 224-0275

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Brian Michael Shockey, MDNPI 1366404105

Title

Owner

Phone

(580) 223-6767

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

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

• Brian Michael Shockey, MD

  • Internal Medicine Physician
  • Ardmore, OK
  • NPI 1366404105
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1437211406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 CHICKASAW BLVD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011466",
            "telephone_number": "580-223-6767",
            "fax_number": "580-224-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 CHICKASAW BLVD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011466",
            "telephone_number": "580-223-6767",
            "fax_number": "580-224-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOCKEY INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "SHOCKEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-223-6767",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "18264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100202500A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra Sherburn
• Melissa Sherfield, LPC
• Sherry Eye Clinic, P.C.
• Dean M Sherry, M.D.
• Timothy D Shields, CRNA
• Brian Michael Shockey, MD
• Julie Shoemake
• Cathy L Shuemake
• Raymond E Shuemake
• Andrea Shults

• Internal Medicine Physician in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.