NPIMap

Individual provider Active NPI

Landry Shipman, DO

  • Family Medicine Physician
  • Edmond, OK
National Provider Identifier
1851975874
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7762 Issued in OK
Practice address
1575 N Santa Fe Ave
Edmond, OK 73003-3638
Phone
(405) 285-0660
NPI assigned
May 6, 2021
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7762 OK Primary

Addresses

Primary practice location

1575 N Santa Fe Ave
Edmond, OK 73003-3638

Mailing address

16612 Valley CRST
Edmond, OK 73012-6723
Phone (501) 827-4024

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905004861 OK Practitioner - Family Practice 5991245896 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metro Physicians LLCGroup PAC ID 1153794813, 62 clinicians
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-4978

1575 N Santa Fe Ave
Edmond, OK 73003-3638
Phone (405) 285-0660

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7762OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alva Hospital Authority/Dba Share Medical Center CurrentSince Sep 13, 2024 Accepting new patients
Metro Healthcare Services LLC CurrentSince May 1, 2025 Accepting new patients
Mercy Clinic Oklahoma Communities Family Medicine CurrentSince Aug 5, 2024 Accepting new patients
Alva Hospital Authority Family Medicine CurrentSince Sep 13, 2024 Accepting new patients
Metro Physicians LLC CurrentSince Jul 11, 2024 Accepting new patients
Alva Hospital Authority Current Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
SSM Health Care of Oklahoma, Inc Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients

Locations

800 Share Dr
Alva, OK 73717
Phone (580) 327-2800

1575 N Santa Fe Ave
Edmond, OK 73003
Phone (405) 285-0600

18503 N Portland Ave
Edmond, OK 73012
Phone (405) 531-4271

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

1211 N Shartel Ave
Ste 408
Oklahoma City, OK 73103
Phone (405) 835-3428

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

Interoperability endpoints

  • Direct secure messaging: landry.shipman.1@17619.direct.athenahealth.com
  • Direct secure messaging: lshipman396828@direct-ehr-ssmhc.com

Organizations & group practices 11

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.

Hospital & facility affiliations 6

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": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1851975874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16612 VALLEY CRST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730126723",
            "telephone_number": "501-827-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 N SANTA FE AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033638",
            "telephone_number": "405-285-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "LANDRY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-06",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "7762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.