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Nicholas James Shelburne

Internal Medicine

Allopathic & Osteopathic Physicians

3400 NW Expressway Ste 200, Oklahoma City, OK 73112-4491

PECOS Enrollment

This provider is enrolled in PECOS as NICHOLAS SHELBURNE.

Based on the most recent information from CMS, provider Nicholas James Shelburne is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1023462959
Provider Type
Individual
Full Name
Shelburne, Nicholas James
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
4/18/2016
Last Updated
4/4/2025

Contact Information

Practice Location

3400 NW Expressway Ste 200, Oklahoma City, OK 73112-4491

(405) 713-9900

Unlisted Fax

Mailing Location

3433 NW 56th St Ste 700, Oklahoma City, OK 73112-4452

(405) 951-4360

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RP1001X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 41250 Oklahoma
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 41250 Oklahoma
Code 207RC0200X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 41250 Oklahoma

Nicholas James Shelburne

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

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