Individual
SHANNON K OATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2600 FERRY ST, LAFAYETTE, IN 47904-3055
(765) 448-8000
(765) 448-8858
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01037819A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000180974
ANTHEM PROVIDER NUMBER
IN
05
—
100095490
—
IN
01
—
10825685
CAQH NUMBER
IN
01
—
9397348
PHCS PID NUMBER
IN
05
—
OA17622011
—
IN
Enumeration date
03/20/2006
Last updated
02/03/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us