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

Mr. David Shannon Haddock

Individual provider Surgical Physician Assistant · NPI 1760458210

Mr. David Shannon Haddock is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 2004, 22 years ago. Practices with The Physicians Group, LLC, a 106-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri and Oklahoma.

Years since qualifying
22
Licensed in
MO, OK
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

9600 Broadway Ext
Oklahoma City, OK 73114-7408
Phone: (405) 230-9000
Fax: (405) 230-9157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2055 (OK)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2005002890 (MO)

Record details

NPI number1760458210
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 24, 2006
Last updated in NPPESJanuary 5, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice The Physicians Group, Llc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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