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

Stanley Shadid, MD

Individual provider Family Medicine Physician · NPI 1386904183

Stanley Shadid, MD is a Family Practice in Edmond, Oklahoma. Qualified in 2011, 15 years ago. Practices with The Physicians Group, LLC, a 106-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
15
Licensed in
OK
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3030 N W 164th St Ste 101
Edmond, OK 73013
Phone: (405) 252-8761
Fax: (405) 272-8762
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 29130 (OK)

Record details

NPI number1386904183
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 25, 2012
Last updated in NPPESOctober 31, 2024
Certification dateOctober 25, 2024
Mailing address5300 N Independence Ave, Suite 280, Oklahoma City, OK 73112-5556

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2011 (15 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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