Stacia Brooke Shipman in Oklahoma City - Emergency Medicine
Stacia Brooke Shipman - NPI 1801094057
Stacia Brooke Shipman is a Emergency Medicine in Oklahoma City, Oklahoma. Stacia Brooke Shipman practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Stacia Brooke Shipman is 1801094057. The last update date is 2007-07-10.
Stacia Brooke Shipman's current location address is 4200 S Douglas Ave, Oklahoma City, Oklahoma. You can contact this provider via phone number 4056367195 and fax number 4057137629. The mailing address for Stacia Brooke Shipman is 4200 S Douglas Ave, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacia Brooke Shipman |
|---|---|
| Address | 4200 S Douglas Ave, Oklahoma City, Oklahoma |
| Phone Number | 4056367195 |
| Fax Number | 4057137629 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1801094057 |
|---|---|
| Provider Enumeration Date | 2007-07-10 |
| Last Updated Date | 2007-07-10 |
Provider Mailing Address Detail
| Address | 4200 S Douglas Ave |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731093223 |
| Phone Number | 4056367195 |
| Fax Number | 4057137629 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 4554 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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What is the unique identifier code issued to Stacia Brooke Shipman by the Centers for Medicare & Medicaid Services?
The Stacia Brooke Shipman has been assigned the NPI (National Provider Identifier) 1801094057. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Stacia Brooke Shipman?
The Stacia Brooke Shipman is situated at 4200 S Douglas Ave, in the city of Oklahoma City, state of OK, with the zip code 731093223.
What is the Stacia Brooke Shipman's specialty and taxonomy code?
The Stacia Brooke Shipman's specialty is Emergency Medicine, and the corresponding taxonomy code is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801094057 to Stacia Brooke Shipman?
The Centers for Medicare & Medicaid Services originally issued the 1801094057 to Stacia Brooke Shipman on 2007-07-10.
As of what date were the details related to Stacia Brooke Shipman most recently updated or revised?
The information pertaining to Stacia Brooke Shipman, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-10.
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