Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shea Pelham Pielsticker, MD

Individual provider Family Medicine Physician · NPI 1104355718

Dr. Shea Pelham Pielsticker, MD is an Emergency Medicine in Yukon, Oklahoma. Graduated from University of Oklahoma College of Medicine in 2017, 9 years ago. Practices with South Central Emergency Services, PC, a 60-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
9
Trained at
University of Oklahoma College of Medicine
Licensed in
OK
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

709 N Czech Hall Rd
Yukon, OK 73099-7897
Phone: (405) 494-8600
Fax: (405) 494-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3025 Sw 104th St, Oklahoma City, OK 73159-7036 — (405) 300-7740

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 33202 (OK)
Family Medicine Physician Taxonomy 207Q00000X · Licence 33202 (OK)

Record details

NPI number1104355718
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2017
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice South Central Emergency Services, Pc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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