Shockey Internal Medicine Pc in Ardmore - Internal Medicine

Shockey Internal Medicine Pc - NPI 1437211406

Shockey Internal Medicine Pc is a Internal Medicine in Ardmore, Oklahoma. Shockey Internal Medicine Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Shockey Internal Medicine Pc is 1437211406. The last update date is 2008-05-15.

Shockey Internal Medicine Pc's current location address is 2419 Chickasaw Blvd, Ardmore, Oklahoma. You can contact this provider via phone number 5802236767 and fax number 5802240275. The mailing address for Shockey Internal Medicine Pc is 2419 Chickasaw Blvd, Ardmore, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shockey Internal Medicine Pc
Address 2419 Chickasaw Blvd, Ardmore, Oklahoma
Phone Number 5802236767
Fax Number 5802240275
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Shockey Michael Brian
Credentials MD
Telephone Number 5802236767

NPI Number Detail

NPI Number 1437211406
Provider Enumeration Date 2006-12-15
Last Updated Date 2008-05-15

Provider Mailing Address Detail

Address 2419 Chickasaw Blvd
City Ardmore
State Oklahoma (OK)
Post Code 734011466
Phone Number 5802236767
Fax Number 5802240275

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 18264
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100202500A OK --

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FAQs about Shockey Internal Medicine Pc

What is the unique identification code assigned to Shockey Internal Medicine Pc by the Centers for Medicare & Medicaid Services?

The Shockey Internal Medicine Pc has been issued the NPI (National Provider Identifier) 1437211406. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Shockey Internal Medicine Pc is located?

The Shockey Internal Medicine Pc is situated at the following address: 2419 Chickasaw Blvd, Ardmore, OK, 734011466.

What is Shockey Internal Medicine Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Shockey Internal Medicine Pc is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.

On what date did the Shockey Internal Medicine Pc receive the assignment of its 1437211406 from the Centers for Medicare & Medicaid Services?

The Shockey Internal Medicine Pc was issued its 1437211406 by the Centers for Medicare & Medicaid Services on 2006-12-15.

When was the Shockey Internal Medicine Pc's information last updated?

The Shockey Internal Medicine Pc's information was last updated on 2008-05-15.

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