Active NPI
Sheila Joann Stanek, DO
- Family Medicine Physician
- Stillwater, OK
National Provider Identifier
1477531747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3222
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100138090C | Medicaid | OK | |
| 100138090A | Medicaid | OK |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3222 | OK | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossbrook Medical | Family Medicine | Current | Accepting new patients |
| Urgent Care of Green Country PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/10135/brand/1/csg/1/fhir/r4
- 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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1619833670
-
- Urgent Care Clinic/Center
- Bixby, OK
- NPI 1376697003
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.