Shane Edward Stidham in Norman - Anesthesiology

Shane Edward Stidham - NPI 1083644736

Shane Edward Stidham is a Anesthesiology in Norman, Oklahoma. Shane Edward Stidham practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Shane Edward Stidham is 1083644736. The last update date is 2020-04-06.

Shane Edward Stidham's current location address is 3650 W Rock Creek Rd, Norman, Oklahoma. You can contact this provider via phone number 4057013418 and fax number 4057013451. The mailing address for Shane Edward Stidham is 3650 W Rock Creek Rd, Norman, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Shane Edward Stidham
Address 3650 W Rock Creek Rd, Norman, Oklahoma
Phone Number 4057013418
Fax Number 4057013451
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1083644736
Provider Enumeration Date 2006-07-04
Last Updated Date 2020-04-06

Provider Mailing Address Detail

Address 3650 W Rock Creek Rd
City Norman
State Oklahoma (OK)
Post Code 730722202
Phone Number 4057013418
Fax Number 4057013451

Provider's Primary Taxonomy Detail

Speciality Anesthesiology
Taxonomy 207L00000X
Licence No 22913
Definition:
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200088400A OK --

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FAQs about Shane Edward Stidham

What is the unique 10-digit identifier code assigned to Shane Edward Stidham by the Centers for Medicare & Medicaid Services?

The Shane Edward Stidham has been issued the NPI (National Provider Identifier) 1083644736 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Shane Edward Stidham located?

The Shane Edward Stidham is located at 3650 W Rock Creek Rd, Norman, OK 730722202.

What is the area of specialization for Shane Edward Stidham, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Shane Edward Stidham is Anesthesiology, and the corresponding taxonomy code that categorizes this area of expertise is 207L00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1083644736 to Shane Edward Stidham?

The Centers for Medicare & Medicaid Services originally issued the 1083644736 to Shane Edward Stidham on 2006-07-04.

When was the information related to Shane Edward Stidham most recently updated or refreshed?

The details pertaining to the Shane Edward Stidham, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-04-06.

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