Stephanie M Hancock, P.A-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1825 Issued in OK

Practice address

3700 N Kickapoo Ave
Suite 124
Shawnee, OK 74804-1707

Phone

(405) 273-6383

Fax

(405) 214-4362

NPI assigned

Feb 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Midwest City Hma Physician Management, LLC

  • Obstetrics & Gynecology Physician
  • Midwest City, OK
  • NPI 1952469439
  NPD (past)

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1528208030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 N KICKAPOO AVE",
            "address_2": "SUITE 124",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041707",
            "telephone_number": "405-273-6383",
            "fax_number": "405-214-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 N KICKAPOO AVE",
            "address_2": "SUITE 124",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041707",
            "telephone_number": "405-273-6383",
            "fax_number": "405-214-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christia Ann Hallinan, LPN
• Tara Hamilton
• Amber Star Hampton
• Mark W Hampton
• Candice Hamre, MSN, APRN, FNP-C
• Hannah K Handy
• Dana Gayle Hanebutt, NP
• Tracy Duane Haney, B.S.
• Glen Ray Hanson, MD
• Terrie Jo Hanson, PA-C

• Medical Physician Assistant in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.