JEFFREY R SHUART MD PC
NPI 1972638773
Family Medicine in Blackwell, OK

Active since February 22, 2007
115 W BRIDGE AVE, BLACKWELL, OK 74631(580) 363-3501(580) 363-3477 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jeffrey R Shuart Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY R SHUART MD PC (NPI 1972638773) is a healthcare organization registered as a family medicine in Blackwell, Oklahoma and active in the NPI registry since February 2007. The organization lists Jeffrey R Shuart, President, as its authorized official.Information from the official NPPES registry record, last updated October 10, 2016.

NPPES Registry Identity

NPI1972638773
Entity TypeOrganization
Legal Business NameJEFFREY R SHUART MD PC
Location Address115 W BRIDGE AVEBlackwell, OK 74631-2800
Mailing Address115 W Bridge AveBlackwell, OK 74631-2800 · (580) 363-3501 · Fax (580) 363-3477
Fax(580) 363-3477
Organization SubpartNo
Authorized OfficialJeffrey R ShuartPresident · (580) 363-0052
Enumeration DateFebruary 22, 2007
Last NPPES UpdateOctober 10, 2016
NPI 1972638773 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Family Medicine

Taxonomy 207Q00000X · Allopathic & Osteopathic Physicians

Licensed in OK · 18498

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the… Show more

115 W BRIDGE AVE, Blackwell, OK 74631

Also on File with NPPES

Other Identifiers3
500522051 (Medicare ID-Type Unspecified, OK)
100751170A (Medicaid, OK)
F58955 (Medicare UPIN, OK)
Group Practice1
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization. (193400000X SINGLE SPECIALTY GROUP)

Reviews for JEFFREY R SHUART MD PC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physician Assistant
115 W BRIDGE AVE
BLACKWELL, OK 74631
Family Medicine
115 W BRIDGE AVE
BLACKWELL, OK 74631

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972638773, enumerated as an "organization" on February 22, 2007.

The provider is located at 115 W BRIDGE AVE BLACKWELL, OK 74631 and the phone number is (580) 363-3501.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.