SHELBY MADDOX (NPI# 1205153822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205153822 |
| Entity Type | Individual |
| Full Name | SHELBY MADDOX |
| Credential | MED |
| Practice Address |
120 S Madison Ave Ste 24 Elk City OK 73644-5741 |
| Practice Telephone | 5808211855 |
| Practice Fax Number | 5802251130 |
| Mailing Telephone | 5808211855 |
| Mailing Fax Number | 5802251130 |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2010-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
120 S MADISON AVE STE 24 |
| City | ELK CITY |
| State | OK |
| Zip Code | 73644-5741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124252937 | Valerie Mae Whiteneck | Counselor | 120 S Madison Ave Ste 24, Elk City, OK 73644-5741 | 2009-05-07 |
| 1487967048 | Kenna Chennault | Counselor | 120 S Madison Ave Ste 24, Elk City, OK 73644-5741 | 2010-07-23 |
| 1720305295 | Eugene Ross | Counselor | 120 S Madison Ave Ste 24, Elk City, OK 73644-5741 | 2010-04-23 |
| 1295052918 | Raymona Hunter | Counselor | 120 S Madison Ave Ste 24, Elk City, OK 73644-5741 | 2010-04-21 |
| 1598082216 | Lorena Hull | Counselor | 120 S Madison Ave Ste 24, Elk City, OK 73644-5741 | 2010-04-21 |
| 1851618573 | Debra Colston | Counselor | 120 S Madison Ave Ste 24, Elk City, OK 73644-5741 | 2010-04-21 |
| 1609199827 | Jessie Henley | Counselor | 120 S Madison Ave Ste 24, Elk City, OK 73644-5741 | 2010-03-02 |
| 1194047381 | Ophelia N Rogers | Counselor | 120 S Madison Ave Ste 24, Elk City, OK 73644-5741 | 2010-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700259918 | Marco Chavez | Peer Specialist | 2032 W. 7th Place, Elk City, OK 73644 | 2015-11-10 |
| 1932588811 | Erin Marie Sloan | Family Medicine | 1710 W 3rd St Ste 102, Elk City, OK 73644 | 2015-05-25 |
| 1649521568 | Michael Robinson Medical Clinic, LLC | Family Medicine | 1900 W. 2nd St, Suite A, Elk City, OK 73644 | 2012-10-02 |
| 1780913129 | Kathi Lee Henderson | Clinical Nurse Specialist | 1513 N Randall Ave, Elk City, OK 73644 | 2009-12-14 |
| 1700018330 | Tiffany Dawn Dupree | Obstetrics & Gynecology | 1800 West 1st, Suite 101, Elk City, OK 73644 | 2009-08-16 |
| 1538331483 | Farrina Steel | Community Health Worker | 3080 W. 3rd Street, Elk City, OK 73644 | 2008-04-01 |
| 1851586622 | Billy Charles Spurlock | Chiropractor | 1521 W 3rd St, Elk City, OK 73644 | 2007-09-13 |
| 1073736096 | Bruce Daniel Storm Jr. | Dentist | 300 N Garrett, Elk City, OK 73644 | 2007-04-10 |
| 1578681698 | Tiffany Shook | Case Manager/Care Coordinator | 306 Maverick Lane, Elk City, OK 73644 | 2007-03-27 |
| 1720152614 | Diversified Family Services Inc | Community/Behavioral Health | 1021 E Hwy 66, Elk City, OK 73644 | 2006-11-20 |
| Find all providers in zip 73644 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790783405 | Robert C Keith | Specialist | 1900 W 2nd St, Ste B, Elk City, OK 73644-4327 | 2005-07-07 |
| 1538224944 | Elk City Surgical Center | Specialist | 1800 W 1st St, Suite 3, Elk City, OK 73644-3133 | 2006-12-26 |
| 1144302662 | High Plains Obstetrics & Gynecology Inc PC | Specialist | 1900 W 2nd St, Suite B, Elk City, OK 73644-4327 | 2006-10-20 |
| 1932138062 | Y.c. Ahn, M.d., P.l.l.c. | Specialist | 1800 W 1st St, Suite 1, Elk City, OK 73644-3133 | 2006-07-01 |
| 1073542163 | Yoo Chul Ahn | Specialist | 1800 W 1st St, Suite #1, Elk City, OK 73644-3133 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244317 | Hannah Robinette | Specialist | 1822 N Perkins Rd Apt 1535, Stillwater, OK 74075-3138 | 2020-10-28 |
| 1962001453 | Chantelle Nicole Craig | Specialist | 515 S Hafner St, Stillwater, OK 74074-3980 | 2020-10-26 |
| 1073131496 | Ginger Dawn Weber | Specialist | 1431 Hite Blvd, Enid, OK 73703-7938 | 2020-07-13 |
| 1558993568 | Ihelpc LLC | Specialist | 913 N Roosevelt Ave, Sand Springs, OK 74063-7329 | 2020-02-07 |
| 1467092924 | Gabrielle Mae Fielstra | Specialist | 1711 S 77th East Ave, Tulsa, OK 74112-7817 | 2020-01-13 |
| 1821649146 | Stacie Garrett | Specialist | 15487 State Highway 17, Fletcher, OK 73541-4011 | 2019-09-27 |
| 1992355994 | Heaven Lax | Specialist | 1229 Live Oak St, Muskogee, OK 74403-2542 | 2019-09-12 |
| 1295383289 | Keto Wellness and Hormone Clinic | Specialist | 900 N Porter Ave Ste 212, Norman, OK 73071-6485 | 2019-09-03 |
| 1932634789 | Suboxone Solutions LLC | Specialist | 10813 N Macarthur Blvd Ste W, Oklahoma City, OK 73162-6904 | 2017-04-28 |
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHELBY MADDOX.
| 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.