Shea Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24988 Issued in OK

Legal business name

SHEA FAMILY MEDICINE

Practice address

5112 W Gore Blvd Ste 1
Lawton, OK 73505-5909

Phone

(580) 699-3900

Fax

(580) 699-3901

NPI assigned

Jan 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Elena S Shea, M.D.

Title

Owner

Phone

(580) 475-0175

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.

• Maristela Cibes-Silva, M.D.

  • Internal Medicine Physician
  • Lawton, OK
  • NPI 1760552277
  NPD (past)

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1578894747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 W GORE BLVD STE 1",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055909",
            "telephone_number": "580-699-3900",
            "fax_number": "580-699-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 W GORE BLVD STE 1",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055909",
            "telephone_number": "580-699-3900",
            "fax_number": "580-699-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEA FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-475-0175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "24988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Noel Sharp
• Sheila Yvette Sharp
• Connie Shaver
• Virginia J Shaw-Scherler, CRNA
• Heather Shaw
• Kyle Vance Sheffer, PHARMD
• Anthony Dewayne Shegog III
• Deanice Shegog, LPC
• Ramona Shegog
• Caroline Shell, RBT

• Family Medicine Physician in Lawton, OK
• Providers in Lawton, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.