Individual provider Active NPI

Sheila Joann Stanek, DO

  • Family Medicine Physician
  • Stillwater, OK
National Provider Identifier
1477531747
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3222 Issued in OK
Practice address
1411 W 7TH Ave Ste 102
Stillwater, OK 74074-4300
Phone
(405) 377-8367
Fax
(405) 377-5628
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3222 OK Primary

Addresses

Primary practice location

1411 W 7TH Ave Ste 102
Stillwater, OK 74074-4300

Mailing address

1411 W 7TH Ave Ste 102
Stillwater, OK 74074-4300
Phone (405) 377-8367

Other identifiers 2

IdentifierTypeStateIssuer
100138090CMedicaidOK
100138090AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3222OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossbrook Medical Family Medicine Current Accepting new patients
Urgent Care of Green Country PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10135/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sstanek192291@direct.integrisok.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1477531747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W 7TH AVE STE 102",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744300",
            "telephone_number": "405-377-8367",
            "fax_number": "405-377-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W 7TH AVE STE 102",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744300",
            "telephone_number": "405-377-8367",
            "fax_number": "405-377-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANEK",
        "first_name": "SHEILA",
        "middle_name": "JOANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100138090C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100138090A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

Verify at the official NPI Registry.