K Anthony Shanbour, M.D., Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

17067 Issued in OK

Legal business name

K ANTHONY SHANBOUR, M.D., INC

Doing business as

Shanbour & Goff Associates

Practice address

4140 W Memorial Rd
Suite 215
Oklahoma City, OK 73120

Phone

(405) 242-4030

Fax

(405) 242-4031

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly S Horn, CPC

Title

Insurance Cordinator

Phone

(405) 242-4036

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SHANBOUR & GOFF ASSOCIATES Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Tax ID family

K Anthony Shanbour MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• K. Anthony Shanbour MD Inc

  • Obstetrics & Gynecology Physician
  • Oklahoma City, OK
  • NPI 1598119109
  NPD tax ID

Locations

Practitioners 1

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

• Kamal Anthony Shanbour, M.D.

  • Obstetrics & Gynecology Physician
  • Oklahoma City, OK
  • NPI 1700850369
  Medicare reassignment NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972691780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "SUITE 215",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-242-4030",
            "fax_number": "405-242-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "SUITE 215",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-242-4030",
            "fax_number": "405-242-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K ANTHONY SHANBOUR, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "INSURANCE CORDINATOR",
        "authorized_official_telephone_number": "405-242-4036",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "17067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "441609746002",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHANBOUR & GOFF ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rafael Justiz III, M.D.
• Anllely Justo, CRNA
• Jasmine Justus, M.ED., BCBA, LBA-OK
• JV Harmony LLC
• JVC Medical, Inc. (JVC Medical)
• K George Elassal DDS Inc
• Indrani K Thiruselvam, PHD
• K. Anthony Shanbour MD Inc
• K. Honeycutt Therapy & Consulting LLC
• K.Ashok MD,PC

• Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Specialist in Oklahoma

• 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.
• 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.