Shannon Marie Stangl, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2977 Issued in OK

Practice address

4303 Pitman St
Fort Sill, OK 73503-4473

Phone

(580) 585-5600

NPI assigned

Sep 19, 2018

Last updated

Jul 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comanche County Hospital Authority

  dba Lawton Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lawton, OK
  • NPI 1588832869
  Medicare reassignment NPD
• Comanche County Hospital Authority

  dba Great Plains Pharmacy

  • Community/Retail Pharmacy
  • Lawton, OK
  • NPI 1427130947
  NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1528542263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 PITMAN ST",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735034473",
            "telephone_number": "580-585-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 PITMAN ST",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735034473",
            "telephone_number": "580-585-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4117 NW 50th",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731127311",
            "country_code": "US",
            "telephone_number": "918-859-4544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANGL",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Sistoso
• Moniqua Ann Smiley, RDH
• Jamika Alise Smith, RD
• Wilma Jean Smith, RN, COHN-S
• Daryl Spencer, DDS
• Lydia Stanley, R.D.H
• Mike Preston Stevens, O.D.
• William Stevenson, LCSW
• Volanta Sheree Stovall
• Sierra Nicole Stratman, SOCIAL WORK STUDENT

• Physician Assistant in Fort Sill, OK
• Providers in Fort Sill, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.

Verify at the official NPI Registry.