Individual provider Active NPI

Stanley P Ardoin, MD

  • Psychiatry Physician
  • Norman, OK
National Provider Identifier
1649366998
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17730 Issued in OK
Practice address
909 Alameda St
Norman, OK 73071-5229
Phone
(405) 360-5100
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 17730 OK Primary

Addresses

Primary practice location

909 Alameda St
Norman, OK 73071-5229

Mailing address

2625 NW 61St St
Oklahoma City, OK 73112-7118
Phone (405) 842-2323

Other practice location 1

3280 Marshall Ave
Norman, OK 73072-8022
Phone (405) 579-5858

Other identifiers 1

IdentifierTypeStateIssuer
H0300000007MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050627000064 OK Practitioner - Psychiatry 7214977883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Oklahoma College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Oklahoma 99 clinicians

Practice addresses (Care Compare)

3280 Marshall Ave
Norman, OK 73072-8022
Phone (405) 579-5858

909 Alameda St
Norman, OK 73071-5229
Phone (405) 360-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17730OKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Oklahoma CurrentSince May 14, 2010 Accepting new patients
State of Oklahoma CurrentSince May 14, 2010 Accepting new patients
Spardoin LLC Psychiatry CurrentSince Jan 4, 2014 Accepting new patients
State of Oklahoma Past Accepting new patients

Locations

900 E Main St
Norman, OK 73071
Phone (405) 321-4880

3280 Marshall Ave
Norman, OK 73072
Phone (405) 210-1367

909 Alameda St
Norman, OK 73071
Phone (405) 573-3812

419 W Gray St
Norman, OK 73069
Phone (405) 329-7300

2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1649366998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 NW 61ST ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127118",
            "telephone_number": "405-842-2323",
            "fax_number": "405-573-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 ALAMEDA ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730715229",
            "telephone_number": "405-360-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3280 Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730728022",
            "country_code": "US",
            "telephone_number": "405-579-5858",
            "fax_number": "405-292-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARDOIN",
        "first_name": "STANLEY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "17730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H0300000007",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.