DR. STEPHEN FORREST SHOEMAKER (NPI# 1366462996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366462996 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN FORREST SHOEMAKER |
| Credential | PH.D. |
| Practice Address |
550 S Peoria Ave Tulsa OK 74120-3820 |
| Practice Telephone | 9185881900 |
| Practice Fax Number | 9185826405 |
| Mailing Telephone | 9185881900 |
| Mailing Fax Number | 9185826405 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2011-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
654 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100840490A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681262 | Stephen N Shoemaker | Internal Medicine | 217 E 9th St, 1st Floor, Hazleton, PA 18201-3305 | 2005-06-30 |
| 1083632558 | Stephen C Shoemaker | Orthopaedic Surgery | 9850 Genesee Avenue, Suite 210, La Jolla, CA 92037 | 2006-07-17 |
| 1538111901 | Stephen R Shoemaker | Family Medicine | 1116 Millis Ave, Suite 201 B, Boonville, IN 47601-2242 | 2006-05-16 |
| Street Address |
550 S PEORIA AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74120-3820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871538942 | Carolyn Louise Cobb | Emergency Medicine | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2006-06-20 |
| 1487266540 | Tanya Lee Cain | Registered Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-20 |
| 1851903918 | Alicia Kay Ortman | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-20 |
| 1790397982 | Linda Lynn Almanza | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-19 |
| 1437761517 | Brenda Gayle Taylor | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-19 |
| 1780296871 | Jessica Ranae Rimer | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-19 |
| 1255943437 | Treece Louise Sutton | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-19 |
| 1093327603 | Keenan Charles Reed | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-17 |
| 1861004467 | Shannon Renee Woodstock | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-17 |
| 1437760261 | Anne Marie Lisko | Registered Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144704321 | Quintella Delana Miller | Case Manager/Care Coordinator | 1043 E Easton St, Tulsa, OK 74120 | 2018-09-24 |
| 1689152092 | Charles Granger Jr. | Case Manager/Care Coordinator | 103 N Greenwood, Suite 320, Tulsa, OK 74120 | 2018-07-30 |
| 1174015598 | Debra Anne Beasley | Counselor | 1619 E. 13th St., Tulsa, OK 74120 | 2018-06-01 |
| 1649775701 | Cara Marie Cantu | Licensed Practical Nurse | 620 South Peoria, Tulsa, OK 74120 | 2018-03-29 |
| 1639558745 | Wei Te Li | Student in an Organized Health Care Education/Training Program | 1207 S Quaker Ave Apt 104, Tulsa, OK 74120 | 2015-05-21 |
| 1225434350 | Marcos Rivero | Community/Behavioral Health | 130 N. Greenwood, Suite 302, Tulsa, OK 74120 | 2014-11-18 |
| 1861742348 | Tamiika Jones | Social Worker | 1533 E 13th St, Apt B, Tulsa, OK 74120 | 2012-09-12 |
| 1730408097 | Teresa Lee Henshaw | Physical Therapist | 1125 S. Trenton, Hillcrest Medical Center- Kaiser Rehab. Center, Tulsa, OK 74120 | 2010-05-26 |
| 1194970384 | Kym Lynnette Lindsay | Speech-Language Pathologist | 1125 S Trenton Ave Fl 3, Tulsa, OK 74120 | 2008-12-01 |
| 1184872004 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 | 2008-09-04 |
| Find all providers in zip 74120 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265976815 | Kathryn Anne Lafortune | Psychologist | 3120 S Birmingham Ave, Tulsa, OK 74105-2324 | 2016-12-15 |
| 1982627733 | Megan Sunshine Ballew | Psychologist | 3510 S Wheeling Ave, Tulsa, OK 74105-2722 | 2006-07-25 |
| 1780659078 | Hazem Sokkar | Psychologist | 4833 S Sheridan Rd, Ste 408, Tulsa, OK 74145-5750 | 2006-02-21 |
| 1891887824 | Jennifer L Dobson | Psychologist | 6655 S Yale Ave, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136-3326 | 2006-09-28 |
| 1053331280 | Janet Gayle Willis | Psychologist | 4815 S Harvard Ave, Suite 525, Tulsa, OK 74135-3055 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645833 | Elizabeth Bley | Psychologist | 8820 Darlington Rd Nw, Calumet, OK 73014-6850 | 2020-06-29 |
| 1861857682 | Twyla Johnson | Psychologist | 1720 Ne 56th St, Oklahoma City, OK 73111-6837 | 2015-12-21 |
| 1942679626 | Jamie Richardson | Psychologist | 4424 N Parkview Ct, Stillwater, OK 74075-1679 | 2015-09-23 |
| 1144652132 | Felisa Cargile | Psychologist | 1218 Nw 83rd St, Oklahoma City, OK 73114-1514 | 2013-08-01 |
| 1164682910 | Jana S Barnes | Psychologist | 721 S George Nigh Expy, Mcalester, OK 74501-7400 | 2008-06-16 |
| 1518048529 | Roland Lavelle Palmer | Psychologist | 1090 N University Blvd, Norman, OK 73069-7620 | 2006-10-17 |
| 1417492752 | Wellness and Therapy Services, LLC | Psychologist | 2301 W I 44 Service Rd, Suite 200, Oklahoma City, OK 73112-8729 | 2016-12-22 |
| 1851717581 | Terri Cobb | Psychologist | 1700 W Broadway St, Muskogee, OK 74401-3340 | 2014-03-05 |
| 1114352002 | Paula G Parsons | Psychologist | 1732 S Kelly Ave, Edmond, OK 73013-3630 | 2013-09-10 |
| 1992043632 | Clyde Andrew Young | Psychologist | 200 W 15th St, Edmond, OK 73013-3607 | 2013-01-30 |
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| 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.