DR. SHANE MARSHALL (NPI# 1073819314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073819314 |
| Entity Type | Individual |
| Full Name | DR. SHANE MARSHALL |
| Credential | D.O. |
| Practice Address |
4813 S 187th East Ave Tulsa OK 74134-7203 |
| Practice Telephone | 2083715536 |
| Mailing Telephone | 2083715536 |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2017-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | DO184177 | OR | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
4925 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376873877 | Shane Petite Marshall | Social Worker | 1490 E Main St, Columbus, OH 43205-2140 | 2010-01-05 |
| Street Address |
4813 S 187TH EAST AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74134-7203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455765 | Heather Nicole Mercer | Student in an Organized Health Care Education/Training Program | 14002 E. 21st St., Suite 1130, Tulsa, OK 74134 | 2020-04-06 |
| 1467954933 | Elizabeth Grace Severns | Student in an Organized Health Care Education/Training Program | 14002 E. 21st Street, #1140, Tulsa, OK 74134 | 2018-03-01 |
| 1639515901 | Holley Kuhn | Social Worker | 17410 E. 44th Place South, Tulsa, OK 74134 | 2013-05-14 |
| 1780029207 | Jennifer Spencer | Speech-Language Pathologist | 18926 E 49th St, Tulsa, OK 74134 | 2013-05-10 |
| 1659681385 | Debra Sue Grayson | Counselor | 3377 S 141st E Ave, Tulsa, OK 74134 | 2010-10-15 |
| 1689908121 | John E Groves | Dentist | 10125a South Sheridan Rd, Tulsa, OK 74134 | 2009-10-01 |
| 1255366373 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Family Medicine | 13702 E. 46th Place South, Bcchs Rosa Parks Elementary, Tulsa, OK 74134 | 2006-07-11 |
| 1023018819 | Melissa B Myers | Family Medicine | 4705 S 129th East Ave, Tulsa, OK 74134 | 2005-07-22 |
| 1033611512 | Christopher Jason Long | Family Medicine | 14002 E 21st St, Tulsa, OK 74134 | 2018-03-01 |
| 1578074332 | Goldencare Home Health | Adult Companion | 12929 E 21st St, Tulsa, OK 74134-1001 | 2017-10-19 |
| Find all providers in zip 74134 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| 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 physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457715799 | John Carl Sacra | Emergency Medicine | 7911 S. Hudson Pl, Tulsa, OK 74136 | 2016-04-13 |
| 1730568965 | Brianne C Roepke | Emergency Medicine | 744 West 9th St, Tulsa, OK 74127-9028 | 2015-05-20 |
| 1164818993 | Theresa Jackson | Emergency Medicine | 4629 E 13th Pl, Tulsa, OK 74112-6103 | 2015-04-08 |
| 1710371448 | Medexpress Urgent Care, PC - Oklahoma | Emergency Medicine | 2140 S Yale Avenue, Tulsa, OK 74114-2122 | 2015-03-19 |
| 1992148407 | Kevin Thomas Kierl | Emergency Medicine | 1145 S Utica Ave Fl 6, Tulsa, OK 74104-4000 | 2013-04-15 |
| 1467715300 | Mednow Urgent Care Center LLC | Emergency Medicine | 7127 S Olympia, Tulsa, OK 74132 | 2012-06-15 |
| 1437457009 | Matthew Jenkins | Emergency Medicine | 20 E 5th St Ste 620, Tulsa, OK 74103-4441 | 2011-03-07 |
| 1316178874 | Wyatt-dean Avery Pickering | Emergency Medicine | 1223 S Lawton Ave, Tulsa, OK 74127-9173 | 2009-08-01 |
| 1891959581 | Michael Richard Schiesel | Emergency Medicine | 1923 S Knoxville Ave, Tulsa, OK 74112-6841 | 2008-07-11 |
| 1235257593 | William Henry Dudney | Emergency Medicine | 6080 S. Sheridan, Tulsa, OK 74145-9212 | 2007-03-26 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on DR. SHANE MARSHALL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.