Organization Active NPI

Sheila J. Stanek, D.O., PC

  • Family Medicine Physician
  • Stillwater, OK
National Provider Identifier
1609858877
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Apr 8, 2013

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100138090AMedicaidOK
200389520AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1411 W 7th Ave
Ste 102
Stillwater, OK 74074
Phone (405) 377-8367

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.