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

Mrs. Shannan Lee Carmouche, PA

Individual provider Surgery Physician · NPI 1770560161

Mrs. Shannan Lee Carmouche, PA is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 2001, 25 years ago. Practices with Optimal Health Associates LLC, a 12-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
25
Licensed in
OK
In the registry since
2005
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9800 Broadway Ext Ste 203
Oklahoma City, OK 73114
Phone: (405) 419-5412
Fax: (405) 419-5468
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1162 (OK)
Surgery Physician Taxonomy 208600000X · Licence 1162 (OK)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 1162 (OK)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1162 (OK)

Record details

NPI number1770560161
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 27, 2005
Last updated in NPPESFebruary 3, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Optimal Health Associates Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Oklahoma City