Organization Active NPI

Paul a Shellabarger M D Inc

  • Surgery Physician
  • Tulsa, OK
National Provider Identifier
1821296229
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
10044 Issued in OK
Legal business name
PAUL A SHELLABARGER M D INC
Practice address
1809 E 13TH St
#400
Tulsa, OK 74104-4419
Phone
(918) 599-8200
Fax
(918) 587-1767
NPI assigned
Jul 6, 2007
Last updated
Nov 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Paul Anthony Shellabarger, M.D.
Title
Physician
Phone
(918) 599-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 10044 OK Primary

Addresses

Primary practice location

1809 E 13TH St
#400
Tulsa, OK 74104-4419

Mailing address

1809 E 13TH St
#400
Tulsa, OK 74104-4419
Phone (918) 599-8200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1821296229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 E 13TH ST",
            "address_2": "#400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044419",
            "telephone_number": "918-599-8200",
            "fax_number": "918-587-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 E 13TH ST",
            "address_2": "#400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044419",
            "telephone_number": "918-599-8200",
            "fax_number": "918-587-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A SHELLABARGER M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "SHELLABARGER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-599-8200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "10044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.