DAVID L SHADID DO INC (NPI# 1992898209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992898209 |
| Entity Type | Organization |
| Organization Name | DAVID L SHADID DO INC |
| Practice Address |
4612 S Harvard Ave Ste A Tulsa OK 74135-2908 |
| Practice Telephone | 9187475565 |
| Practice Fax Number | 9187475568 |
| Mailing Telephone | 9187475565 |
| Mailing Fax Number | 9187475568 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-12-02 |
| Authorized Official Name | MR. DAVID L SHADID (PRESIDENT PHYSICIAN) |
| Authorized Official Telephone | 9187475565 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
2930 | OK | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2930 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200012860A | 05 |
| Street Address |
4612 S HARVARD AVE STE A |
| City | TULSA |
| State | OK |
| Zip Code | 74135-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205806478 | Stephanie Jo Forbes | Psychiatry & Neurology | 4612 S Harvard Ave, Ste A, Tulsa, OK 74135-2908 | 2006-01-23 |
| 1962052738 | Olivia Lane | Behavioral Analyst | 4612 S Harvard Ave, Tulsa, OK 74135-2908 | 2019-09-13 |
| 1821572934 | Carol Mclain Dillard | Behavioral Analyst | 4612 S Harvard Ave, Tulsa, OK 74135-2908 | 2018-09-25 |
| 1386128809 | Madison Labadie | Behavioral Analyst | 4612 S Harvard Ave, Tulsa, OK 74135-2908 | 2018-09-20 |
| 1982955464 | Julia Lea Adelson | Physical Therapist | 4612 S Harvard Ave, Suite B, Tulsa, OK 74135-2908 | 2012-09-25 |
| 1992060586 | Heather Anne Holmes | Nurse Practitioner | 4612 S Harvard Ave, Ste A, Tulsa, OK 74135-2908 | 2012-07-10 |
| 1932336146 | Jennifier Price, Lpc, Pllc | Counselor | 4612 S Harvard Ave, Ste A, Tulsa, OK 74135-2908 | 2009-06-15 |
| 1538323050 | Kristin Elizabeth Ober | Psychologist | 4612 S Harvard Ave, Tulsa, OK 74135-2908 | 2008-07-14 |
| 1609054576 | Gary L Jones Phd Pllc | Psychologist | 4612 S Harvard Ave, Ste A, Tulsa, OK 74135-2908 | 2008-02-03 |
| 1760669188 | Stephanie Forbes Do PC Inc | Psychiatry & Neurology | 4612 S Harvard Ave, Ste A, Tulsa, OK 74135-2908 | 2008-01-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134783863 | Sarah Thi Tran | Psychiatry & Neurology | 4444 E 41st St Ste B, Tulsa, OK 74135-2527 | 2019-04-29 |
| 1356828305 | Dr. Peteryne D. Miller, M.d. LLC | Psychiatry & Neurology | 4870 S Lewis Ave Ste 205, Tulsa, OK 74105-5153 | 2018-07-23 |
| 1457852659 | Mindful Psychiatry, PC | Psychiatry & Neurology | 5014 E 101st St Ste 200, Tulsa, OK 74137-5803 | 2018-02-22 |
| 1194186247 | Jennifer Brady | Psychiatry & Neurology | 8509 E 98th St, Tulsa, OK 74133-6273 | 2016-03-17 |
| 1821459199 | Brandy Orr Kalami | Psychiatry & Neurology | 1111 W 17th St # 236, Tulsa, OK 74107-1886 | 2016-03-15 |
| 1548689110 | John Patick Laurent | Psychiatry & Neurology | 4444 E 41st St Ste 2b, Tulsa, OK 74135-2527 | 2014-04-10 |
| 1871936906 | Dreylana Shatori Hill Taylor | Psychiatry & Neurology | 8177 S Harvard Ave # 334, Tulsa, OK 74137-1612 | 2013-04-08 |
| 1134483928 | Benjamin Crawford Do Psychiatry Plc | Psychiatry & Neurology | 4612 S Harvard Ave Ste A, Tulsa, OK 74135-2908 | 2012-06-27 |
| 1174807994 | Ravi M Mehta | Psychiatry & Neurology | 10012 E 83rd St, Tulsa, OK 74133-8065 | 2011-09-29 |
| 1053574376 | Michael David Mclaughlin | Psychiatry & Neurology | 6655 S. Yale Ave., Laureate Psychiatric Clinic & Hospital, Tulsa, OK 74136-3326 | 2008-07-07 |
| Find all providers in TULSA | ||||
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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.