Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Nicole Delloiacono, PA-C

Individual provider Physician Assistant · NPI 1689943870

Shannon Nicole Delloiacono, PA-C is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2011, 15 years ago. Practices with Ahs Oklahoma Physician Group LLC, a 315-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
15
Licensed in
OK
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1809 E 13th St Ste 400
Tulsa, OK 74104-4419
Phone: (918) 599-8200
Fax: (918) 583-4678
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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 1102551 (OK)

Record details

NPI number1689943870
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 19, 2011
Last updated in NPPESMay 1, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Ahs Oklahoma Physician Group Llc — 315 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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