ERNEST GEORGE SHADID (NPI# 1518903764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518903764 |
| Entity Type | Individual |
| Full Name | ERNEST GEORGE SHADID |
| Credential | M.D. |
| Practice Address |
3280 Marshall Ave Norman OK 73072-8028 |
| Practice Telephone | 4055795858 |
| Practice Fax Number | 4052921787 |
| Mailing Telephone | 4055795858 |
| Mailing Fax Number | 4052921787 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
6852 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
3280 MARSHALL AVE |
| City | NORMAN |
| State | OK |
| Zip Code | 73072-8028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942298385 | Advanced Family Therapeutic | Clinic/Center | 3280 Marshall Ave, Norman, OK 73072 | 2005-10-10 |
| 1336747807 | Jana Bolling | Nurse Practitioner | 3280 Marshall Ave, Norman, OK 73072-8022 | 2020-10-15 |
| 1972156149 | Britane Outlaw, LLC | Counselor | 3280 Marshall Ave, Norman, OK 73072-8022 | 2019-07-17 |
| 1598286296 | E & S Ventures LLC | Family Medicine | 3280 Marshall Ave, Norman, OK 73072-8022 | 2017-07-03 |
| 1255881538 | Tayler Chambers | Counselor | 3280 Marshall Ave, Norman, OK 73072-8022 | 2016-10-10 |
| 1972992022 | Lawren A Merideth Md PC | Psychiatry & Neurology | 3280 Marshall Ave, Norman, OK 73072-8022 | 2015-01-13 |
| 1528468154 | Kfg Counseling LLC | Social Worker | 3280 Marshall Ave, Norman, OK 73072-8022 | 2014-09-02 |
| 1528479763 | Joy T Williams LLC | Psychologist | 3280 Marshall Ave, Norman, OK 73072-8022 | 2014-05-09 |
| 1659618825 | Paula Delee Reading | Social Worker | 3280 Marshall Ave, Norman, OK 73072-8022 | 2013-01-08 |
| 1407102742 | Norman Neuropsychology Associates, Pllc | Clinical Neuropsychologist | 3280 Marshall Ave, Norman, OK 73072-8022 | 2012-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326684630 | Summer Crawford | Nurse Practitioner | 2080 Ok-9, Norman, OK 73072 | 2019-11-21 |
| 1962054882 | Jayme Provine | Registered Nurse | 3300 Healthplex Parkway, Lactation Dept, Norman, OK 73072 | 2019-07-11 |
| 1811556186 | Elizabeth Moore | Behavioral Analyst | 2240 36th Ave Nw, Suite 100, Norman, OK 73072 | 2019-06-11 |
| 1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
| 1801384953 | Serena Browning | Registered Nurse | 3913 Ripple Ave, Norman, OK 73072 | 2018-04-24 |
| 1508363771 | Dental Depot of 36th & Tecumseh, Pllc | Dentist | 3401 W. Tecumseh Rd., Norman, OK 73072 | 2018-04-12 |
| 1396274809 | Balance Hormone Center | Physician Assistant | 3351 W. Rock Creek Rd Ste 100, Norman, OK 73072 | 2017-06-08 |
| 1174060792 | Rebekah Karnes | Nurse Practitioner | 2120 Mckown Dr Ste B, Norman, OK 73072 | 2017-01-20 |
| 1881139319 | Heritage Dental Group LLC | Dentist | 3600 W Tecumseh Rd, Norman, OK 73072 | 2016-12-19 |
| 1043699150 | Alan Jay Washington | Social Worker | 3200 Marshall Ave. Outpatient Services-norman, Suite 220 Strong Family Development, Norman, OK 73072 | 2015-05-21 |
| Find all providers in zip 73072 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265514715 | Donna Fenton Gibson | Psychiatry & Neurology | 2501 Cummings Dr, Oklahoma City, OK 73107-2108 | 2006-10-20 |
| 1003209057 | Psydoc LLC | Psychiatry & Neurology | 309 N Redbud Ave, Broken Arrow, OK 74012-2376 | 2015-03-16 |
| 1851611602 | Audra Michelle Yadack | Psychiatry & Neurology | 4601 N Classen Blvd, Oklahoma City, OK 73118-4815 | 2010-06-03 |
| 1255591392 | Gs Medical Consultants Inc | Psychiatry & Neurology | 2805 S Bryant Ave, Suite A, Edmond, OK 73013-6159 | 2008-06-12 |
| 1639343650 | Psychiatric Health Corporation | Psychiatry & Neurology | 10101 S Pennsylvania Ave, Suite A, Oklahoma City, OK 73159-6929 | 2008-04-22 |
| 1730260084 | Charles J Alexis | Psychiatry & Neurology | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2006-10-17 |
| 1114011764 | Kirsten Matthews Wilkins | Psychiatry & Neurology | 4502 E 41st St, Dept of Psychiatry, Tulsa, OK 74135-9923 | 2006-10-03 |
| 1124052089 | John C. Andrus | Psychiatry & Neurology | 5100 N Brookline Ave, 950, Oklahoma City, OK 73112-3623 | 2006-07-10 |
| 1134199250 | Jimmie D Mcadams Jr. | Psychiatry & Neurology | 6655 S Yale Ave, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136-3326 | 2006-01-23 |
| 1629052808 | Patricia A. Costner | Psychiatry & Neurology | 6655 S Yale Ave, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136-3326 | 2005-12-01 |
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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.