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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730701251

Shelby Madolyn Willis, DO is an Emergency Medicine in Lawton, Oklahoma. Qualified in 2020, 6 years ago. Practices with Grady Memorial Hospital, a 47-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
6
Licensed in
OK
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3401 W Gore Blvd
Lawton, OK 73505-6332
Phone: (580) 585-5545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 7288 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730701251
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 7, 2020
Last updated in NPPESAugust 26, 2022
Certification dateAugust 26, 2022

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Grady Memorial Hospital — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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