Active NPI
Sheila J. Stanek, D.O., PC
- Family Medicine Physician
- Stillwater, OK
National Provider Identifier
1609858877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SHEILA J. STANEK, D.O., PC
- Practice address
- 1411 W 7TH Ave Ste 102
Stillwater, OK 74074-4300 - Phone
- (405) 377-8367
- Fax
- (405) 377-5628
- NPI assigned
- Nov 15, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sheila Joann Stanek, D.O.
- Title
- Physician
- Phone
- (405) 377-8367
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X | 3222 | OK |
Addresses
Primary practice location
1411 W 7TH Ave Ste 102
Stillwater, OK 74074-4300
Mailing address
1411 W 7TH Ave Ste 102
Stillwater, OK 74074-4300
Phone (405) 377-8367
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100138090A | Medicaid | OK | |
| 200389520A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
1411 W 7th Ave
Ste 102
Stillwater, OK 74074
Phone (405) 377-8367
Interoperability endpoints
- https://api.platform.athenahealth.com/10135/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365379200000",
"number": "1609858877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 W 7TH AVE STE 102",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744300",
"telephone_number": "405-377-8367",
"fax_number": "405-377-5628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 W 7TH AVE STE 102",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744300",
"telephone_number": "405-377-8367",
"fax_number": "405-377-5628"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHEILA J. STANEK, D.O., PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-15",
"last_updated": "2013-04-08",
"status": "A",
"authorized_official_last_name": "STANEK",
"authorized_official_first_name": "SHEILA",
"authorized_official_middle_name": "JOANN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "405-377-8367",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "OK",
"license": "3222",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100138090A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200389520A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.