Danna K Stuart, MD
Individual provider Active NPI Family Medicine Physician · Shattuck, OK
NPI 1891716775 · NPPES record last updated Jan 8, 2013
Key facts
- NPI
- 1891716775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 24874 (OK)
- Practice address
- 404 South Main Street
Shattuck, OK 73858 - Phone
- (580) 938-5400
- Fax
- (580) 938-5409
- NPI assigned
- Jul 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 10
Owned or controlled facilities with NPI records 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Oklahoma College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Newman Memorial Hospital, Inc
Practice addresses (Care Compare)
1000 15TH St
Woodward, OK 73801-3008
Phone (580) 571-3160
905 S Main
Shattuck, OK 73858-9205
905 S Main St
Shattuck, OK 73858-9205
Phone (580) 938-2551
Hospital & facility affiliations
- Accentcare Health
- Carter Healthcare of Central Oklahoma, LLC
- Assured Home Health of Woodward
- Traditions Health of Woodward
- Newman Memorial Hospital
- Integris Health Woodward Hospital
- O U Medical Center
- St Mary'S Regional Medical Center
- Integris Health Enid Hospital
- Shattuck Nursing Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Newman Memorial Hospital, Inc |
Hospital | Corporate Director | Aug 1, 2006 |
| Newman Memorial Hospital, Inc |
Hospital | Corporate Director | Aug 1, 2006 |
| Shattuck Nursing Center Inc |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2020 Jan 1, 2020 |
| Newman Healthcare Associates |
Rural health clinic | Operational/Managerial Control | Jun 11, 2019 |
| Newman Healthcare Associates Woodward |
Rural health clinic | W-2 Managing Employee | Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060809000413 | OK | Practitioner - Family Practice | 4981633492 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24874 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Center | Past | Accepting new patients | |
| Newman Memorial Hospital, Inc | Family Medicine | Past | Accepting new patients |
| Shattuck Nursing Center Inc | Past |
Accepting new patients | |
| Newman Memorial Hospital, Inc. | Past | Accepting new patients |
Interoperability endpoints
- dstuart67086@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24874 | OK | Yes |
Addresses
Primary practice location
404 South Main Street
Shattuck, OK 73858
Mailing address
PO Box 827
Shattuck, OK 73858-0827
Phone (580) 938-5400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200093290A | Medicaid | OK |
Other names
- Dr. Danna K Dersch
Other providers in Shattuck, OK
- Shattuck Nursing Center Inc
- Shattuck Pharmacy Management Inc
- Shattuck Public Schools
- Stuart Family Medicine, PLLC
- Stuart Family Medicine, PLLC.
All providers in Shattuck, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.