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

Shelton Knudsen, DO

Individual provider Emergency Medicine Physician · NPI 1104263425

Shelton Knudsen, DO is an Emergency Medicine in Tulsa, Oklahoma. Qualified in 2013, 13 years ago. Practices with Integris Ambulatory Care Corporation, a 683-clinician group and accepts Medicare assignment. Licensed in Arkansas and Oklahoma.

Years since qualifying
13
Licensed in
AR, OK
In the registry since
2013
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

744 W 9th St
Tulsa, OK 74127-9020
Phone: (918) 599-1000
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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 5582 (OK)
Emergency Medicine Physician Taxonomy 207P00000X · Licence E-9687 (AR)

Record details

NPI number1104263425
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 28, 2013
Last updated in NPPESApril 12, 2021
Certification dateApril 12, 2021
Mailing address2906 N 17th St, Broken Arrow, OK 74012-9568

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Integris Ambulatory Care Corporation — 683 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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