Organization Active NPI

K. Anthony Shanbour MD Inc

  • Obstetrics & Gynecology Physician
  • Oklahoma City, OK
National Provider Identifier
1598119109
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
17067 Issued in OK
Legal business name
K. ANTHONY SHANBOUR MD INC
Practice address
5720 W Memorial Rd
Oklahoma City, OK 73142-2010
Phone
(405) 470-2207
Fax
(405) 470-8747
NPI assigned
Apr 20, 2016
Last updated
Aug 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Authorized official

Name
K. Anthony Shanbour, MD
Title
Owner
Phone
(405) 237-9878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 17067 OK Primary

Addresses

Primary practice location

5720 W Memorial Rd
Oklahoma City, OK 73142-2010

Mailing address

13921 N Meridian
Suite 200
Oklahoma City, OK 73134-1104
Phone (405) 237-9878

National Provider Directory

National Provider Directory
Tax ID family
K Anthony Shanbour MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13921 N Meridian Ave
Ste 200
Oklahoma City, OK 73134
Phone (405) 237-9878

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1598119109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13921 N MERIDIAN",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341104",
            "telephone_number": "405-237-9878",
            "fax_number": "405-655-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731422010",
            "telephone_number": "405-470-2207",
            "fax_number": "405-470-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. ANTHONY SHANBOUR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "SHANBOUR",
        "authorized_official_first_name": "K.",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-237-9878",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "17067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.