NPIMap

Organization Active NPI

Shelba J Bethel MD Inc

  • Specialist
  • Norman, OK
National Provider Identifier
1447384540
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8481 Issued in OK
Legal business name
SHELBA J BETHEL MD INC
Practice address
809 N Findlay Ave
100
Norman, OK 73071-6438
Phone
(405) 364-0643
Fax
(405) 364-0502
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Authorized official

Name
Dr. Shelba J Bethel, M D
Title
Physician
Phone
(405) 364-5725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 8481 OK Primary

Addresses

Primary practice location

809 N Findlay Ave
100
Norman, OK 73071-6438

Mailing address

809 N Findlay Ave Suite 100
Norman, OK 73071
Phone (405) 364-0643

Other identifiers 1

IdentifierTypeStateIssuer
100092930BMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1447384540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N FINDLAY AVE SUITE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73071",
            "telephone_number": "405-364-0643",
            "fax_number": "405-364-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N FINDLAY AVE",
            "address_2": "100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716438",
            "telephone_number": "405-364-0643",
            "fax_number": "405-364-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBA J BETHEL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "BETHEL",
        "authorized_official_first_name": "SHELBA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "405-364-5725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "8481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092930B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.