Larry Shane Elliott
Larry Shane Elliott is a Family Practice in Fairview, Oklahoma. Graduated from Oklahoma State University College of Osteopathic Medicine in 2016, 10 years ago. Practices with Norman Regional Providers Primary Care, a 56-clinician group and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 10
- Trained at
- Oklahoma State University College of Osteopathic Medicine
- Licensed in
- OK
- In the registry since
- 2016
Practice location Address checks out
523 E State RdFairview, OK 73737-1453
Phone: (580) 227-3721
Fax: (580) 227-2882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 6155 (OK) |
|---|
Record details
| NPI number | 1770933277 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 15, 2016 |
| Last updated in NPPES | March 23, 2022 |
| Certification date | March 23, 2022 |
| Mailing address | 523 E State Rd, Fairview, OK 73737-1453 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduated | 2016 (10 years in practice) |
| Group practice | Norman Regional Providers Primary Care — 56 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Fairview
-
Entrust DPC PLLC
917 N Main St, Fairview, OK 73737-1005 · (580) 227-8647
-
Fairview Regional Medical Center Authority
519 E State Rd, Fairview, OK 73737-1458 · (580) 227-2585
-
Fairview Regional Medical Center Authority
519 E State Rd, Fairview, OK 73737-1458 · (580) 227-3721
-
Donald Klinger, DO
519 E State Rd, Fairview, OK 73737-1458 · (580) 227-2585