Larry Shane Elliott

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6155 Issued in OK

Practice address

523 E State Rd
Fairview, OK 73737-1453

Phone

(580) 227-3721

Fax

(580) 227-2882

NPI assigned

Jun 15, 2016

Last updated

Mar 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Oklahoma State University College of Osteopathic Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Norman Regional Providers Primary CareGroup PAC ID 5496837718, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Norman Regional Hospital, Norman, OK, CCN 370008
• O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

Merit-based Incentive Payment System (MIPS)

Final score

90.91 of 100Reported as apm

Quality

76.55

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.973232
• Direct secure messaging: larry.elliott@nrh.eclinicaldirectplus.com

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

• Norman Regional Providers Primary Care

  • Family Medicine Physician
  • Norman, OK
  • NPI 1548398274
  Medicare reassignment Care Compare group NPD
• Fairview Regional Medical Center Authority

  dba Fairview Regional Medical Center

  • Critical Access Hospital
  • Fairview, OK
  • NPI 1033153309
  Medicare reassignment NPD
• Fairview Regional Medical Center Authority

  • Critical Access Hospital
  • Fairview, OK
  • NPI 1053357210
  Medicare reassignment NPD
• Fairview Regional Medical Center Authority

  dba Fairview Family Clinic

  • Family Medicine Physician
  • Fairview, OK
  • NPI 1316981657
  Medicare reassignment NPD
• Fairview Regional Medical Center Authority

  dba Fairview Family Clinic

  • Family Medicine Physician
  • Fairview, OK
  • NPI 1356379309
  NPD
• Aky MD, LLC

  dba Just Kids Pediatrics

  • Pediatrics Physician
  • Moore, OK
  • NPI 1063846699
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Jackson County Memorial Hospital Authority

  dba Harmon Memorial Hospital

  • Critical Access Hospital
  • Hollis, OK
  • NPI 1295735991
  NPD (past)
• Norman Regional Hospital Authority

  dba Norman Regional

  • General Acute Care Hospital
  • Norman, OK
  • NPI 1700882578
  NPD (past)

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

• Norman Regional Hospital Authority

  dba Norman Regional

  • General Acute Care Hospital
  • Norman, OK
  • NPI 1700882578
  Care Compare affiliation
• Ou Medicine Inc.

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1649794157
  Care Compare affiliation

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1770933277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 E STATE RD",
            "city": "FAIRVIEW",
            "state": "OK",
            "postal_code": "737371453",
            "telephone_number": "580-227-3721",
            "fax_number": "580-227-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 E STATE RD",
            "city": "FAIRVIEW",
            "state": "OK",
            "postal_code": "737371453",
            "telephone_number": "580-227-3721",
            "fax_number": "580-227-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "LARRY",
        "middle_name": "SHANE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-15",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "6155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Cook, PT, DPT
• County of Major Fairview School Dist 84
• Dentistry for Today, P.C.
• Raegan Dewilde
• Kaci Ranae Edwards
• Entrust DPC PLLC
• Megan Leigh Ewing, APRN-CNP
• Fairview Family & Sports Chiropractic, P.C.
• Fairview Fellowship Home for Senior Citizens, Inc.
• Fairview Regional Medical Center

• Family Medicine Physician in Fairview, OK
• Providers in Fairview, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.