Organization Active NPI

Gregory E Shadid MD PLLC

  • Child & Adolescent Psychiatry Physician
  • Norman, OK
National Provider Identifier
1932144797
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
GREGORY E SHADID MD PLLC
Practice address
3280 Marshall Ave
Norman, OK 73072-8028
Phone
(405) 579-5858
Fax
(405) 292-1787
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gregory Ernest Shadid, M.D.NPI 1811985062
Title
Owner
Phone
(405) 579-5858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

3280 Marshall Ave
Norman, OK 73072-8028

Mailing address

3280 Marshall Ave
Norman, OK 73072-8028
Phone (405) 579-5858

National Provider Directory

National Provider Directory

Locations

3280 Marshall Ave
Norman, OK 73072
Phone (405) 210-1367

730 Asp Ave
Ste 210
Norman, OK 73069
Phone (405) 310-4477

Practitioners & affiliated clinicians

Practitioners 2

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": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932144797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 MARSHALL AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730728028",
            "telephone_number": "405-579-5858",
            "fax_number": "405-292-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 MARSHALL AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730728028",
            "telephone_number": "405-579-5858",
            "fax_number": "405-292-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY E SHADID MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHADID",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-579-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.