Shadid Plastic Surgery Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

7578 Issued in OK

Legal business name

SHADID PLASTIC SURGERY ASSOCIATES

Practice address

13820 Wireless Way
Oklahoma City, OK 73134-2501

Phone

(405) 755-4451

Fax

(405) 755-6053

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward A Shadid Sr., MD

Title

President

Phone

(405) 755-4451

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lisa Danele Taylor, M.D.

  • Plastic Surgery Physician
  • Oklahoma City, OK
  • NPI 1891891305
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487797189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13820 WIRELESS WAY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342501",
            "telephone_number": "405-755-4451",
            "fax_number": "405-755-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13820 WIRELESS WAY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342501",
            "telephone_number": "405-755-4451",
            "fax_number": "405-755-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADID PLASTIC SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHADID",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-755-4451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "7578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina Shaban, MD
• Shabbir Ahmed Chaudhry Inc
• Deanna Shackelford, LCSW
• Michael Shackelford, R.N.,BSN
• Scott Shadfar, MD
• Anna Leigh Shadid, MD
• Betsy Ann Shadid, M.D.
• Christopher Charles Shadid, M.D.
• David Brian Shadid, DDS MSD
• Derek J Shadid, M.D.

• Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.