Individual provider Active NPI

Amanda Kay Schovanec

  • Student in an Organized Health Care Education/Training Program
  • Tulsa, OK
National Provider Identifier
1669059374
Registry record updated Mar 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
717 S Houston Ave Ste 200
Tulsa, OK 74127-9005
Phone
(918) 586-4500
NPI assigned
Mar 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

717 S Houston Ave Ste 200
Tulsa, OK 74127-9005

Mailing address

20692 E 45TH St S
Broken Arrow, OK 74014-8743
Phone (405) 699-2098

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
I20251016005127 OK Practitioner - Obstetrics/Gynecology 9032606504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oklahoma State University College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

4651 N Harrison St
SSM Health Shawnee Amulatory Care
Shawnee, OK 74804-1440
Phone (405) 214-5100

Hospital & facility affiliations

  • SSM Health St Anthony Hospital - Shawnee Hospital, Shawnee, OK, CCN 370149

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7703OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
Saints Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
St Anthony Shawnee Hospital Inc Past Accepting new patients

Locations

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

4651 N Harrison St
Shawnee, OK 74804
Phone (405) 214-5100

Interoperability endpoints

  • Direct secure messaging: aschovanec385136@direct-ehr-ssmhc.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616803200000",
    "number": "1669059374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20692 E 45TH ST S",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740148743",
            "telephone_number": "405-699-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S HOUSTON AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279005",
            "telephone_number": "918-586-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOVANEC",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-27",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.