Active NPI
Sharon Ellen Noel, D.O.
- Family Medicine Physician
- Sapulpa, OK
National Provider Identifier
1548239379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2644
- Practice address
- 1305 E Taft Ave
Sapulpa, OK 74066-6033 - Phone
- (918) 224-8425
- Fax
- (918) 224-8426
- NPI assigned
- Mar 15, 2006
- Last updated
- May 6, 2014
- 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 | 2644 | OK | Primary |
Addresses
Primary practice location
1305 E Taft Ave
Sapulpa, OK 74066-6033
Mailing address
1305 E Taft Ave
Sapulpa, OK 74066-6033
Phone (918) 224-8425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100088090B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2644 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Medical Group Inc | Family Medicine | Current | Accepting new patients |
Locations
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1548239379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 E TAFT AVE",
"city": "SAPULPA",
"state": "OK",
"postal_code": "740666033",
"telephone_number": "918-224-8425",
"fax_number": "918-224-8426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 E TAFT AVE",
"city": "SAPULPA",
"state": "OK",
"postal_code": "740666033",
"telephone_number": "918-224-8425",
"fax_number": "918-224-8426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOEL",
"first_name": "SHARON",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "2644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100088090B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sapulpa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.