Holly Nicole Shinnen (NPI# 1891991576, PAC ID# 2961599410) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1891991576 |
| PAC ID by PECOS | 2961599410 |
| Professional Enrollment ID | I20071030000501 |
| Full Name | Holly Nicole Shinnen |
| Organization Legal Name | BRISTOW ENDEAVOR HEALTHCARE, LLC |
| Address |
700 W 7th Ave Suite 5 Bristow OK 74010-2302 |
| Phone Number | 9183676611 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7719115344 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370041 | BRISTOW MEDICAL CENTER |
| 370001 | HILLCREST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 700 W 7th Ave, Suite 5, Bristow, OK 74010-2302 | 9183676611 | BRISTOW ENDEAVOR HEALTHCARE, LLC |
| Organization Legal Name | BRISTOW ENDEAVOR HEALTHCARE, LLC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary A Ward | Physician Assistant | Bristow Endeavor Healthcare, LLC | 900 W Truck Bypass, Drumright Healthcare Center, Drumright, OK 74030 |
| Frank Hubbard | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Daniel D Fields | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Lisa K Leifheit | Nurse Practitioner | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Donald L Cooper | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Ernest A Proo | Nurse Practitioner | Bristow Endeavor Healthcare, LLC | 3029 W Main St, Ctr for Ortho Recon Excellence, Jenks, OK 74037-3465 |
| Jeffery Stamps | Nurse Practitioner | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, Suite 5, Bristow, OK 74010-2302 |
| Steven J Finley | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Fred J Crapse Jr. | General Surgery | Bristow Endeavor Healthcare, LLC | 3029 W Main St, Ctr for Ortho Recon Excellence, Jenks, OK 74037-3465 |
| Sarah Pinson | Physician Assistant | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, Suite 5, Bristow, OK 74010-2302 |
| Street Address |
700 W 7TH AVE SUITE 5 |
| City | BRISTOW |
| State | OK |
| Zip | 74010-2302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank Hubbard | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Daniel D Fields | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Lisa K Leifheit | Nurse Practitioner | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Donald L Cooper | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Jeffery Stamps | Nurse Practitioner | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, Suite 5, Bristow, OK 74010-2302 |
| Steven J Finley | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Sarah Pinson | Physician Assistant | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, Suite 5, Bristow, OK 74010-2302 |
| Bradley D. Lowery | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, Suite 5, Bristow, OK 74010-2302 |
| Joseph A. Cardello | Physician Assistant | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, Suite 5, Bristow, OK 74010-2302 |
| Kristin L Sells | Physician Assistant | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, Suite 5, Bristow, OK 74010-2302 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene E Bledsoe | Chiropractic | 509 N Main St, Bristow, OK 74010-2016 | |
| Mark A Brandenburg | Emergency Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, Suite 5, Bristow, OK 74010-2302 |
| Jason D Remington | Family Medicine | Ahs Oklahoma Physician Group LLC | 700 W 7th St, 101 Utica Park Clinic Bristow, Bristow, OK 74010-2302 |
| Richard W Schafer | Family Medicine | Homestead Medical Clinic, Plc | 222 N Main St, Bristow, OK 74010-2408 |
| April M Crouch | Nurse Practitioner | Homestead Medical Clinic, Plc | 300 N Main St, Bristow, OK 74010-2408 |
| Anne S May | Family Medicine | Homestead Medical Clinic, Plc | 300 N Main St, Bristow, OK 74010-2408 |
| Ty D Biggs | Chiropractic | 322 N Main St, Bristow, OK 74010-2410 | |
| Zeddie Cantrell | Optometry | 121 E 7th Ave, Bristow, OK 74010-2501 |
| City | BRISTOW |
| Zip Code | 74010 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BRISTOW + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Holly Nicole Shinnen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.