NPIMap

Organization Active NPI

Sho Professional Services LLC

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1780313783
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SHO PROFESSIONAL SERVICES LLC
Practice address
3130 SW 89TH St Ste 200
Oklahoma City, OK 73159-7909
Phone
(972) 846-0837
Fax
(214) 764-3113
NPI assigned
Jun 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Hollie Seago
Title
Director, Revenue Cycle
Phone
(972) 846-0837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

3130 SW 89TH St Ste 200
Oklahoma City, OK 73159-7909

Mailing address

3705 NW 63Rd St Ste 201
Oklahoma City, OK 73116-1937
Phone (972) 846-0837

Other practice location 1

3705 NW 63rd St Ste 201
Oklahoma City, OK 73116-1937
Phone (405) 297-4968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221212000858 OK Part B Supplier - Clinic/Group Practice 7810366051 Receives reassigned benefits from 11 practitioners
Practice locations: Oklahoma City, OK; Shawnee, OK; Norman, OK
O20240325000670 OK DME Supplier - Physician - Orthopedic/Orthopedic Surgery 7810366051 Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5573 N Council Ave
Blanchard, OK 73010

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1780313783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 NW 63RD ST STE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161937",
            "telephone_number": "972-846-0837",
            "fax_number": "214-764-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 SW 89TH ST STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597909",
            "telephone_number": "972-846-0837",
            "fax_number": "214-764-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3705 NW 63rd St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731161937",
            "country_code": "US",
            "telephone_number": "405-297-4968",
            "fax_number": "972-848-5269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHO PROFESSIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "SEAGO",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE",
        "authorized_official_telephone_number": "972-846-0837"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.