SHADID, EDWARD A. - Licensee Information

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Last Update: Thursday, May 16, 2024 7:04 PM CDT
Next Update: Friday, May 17, 2024 2:50 AM CDT

SHADID, EDWARD A.

Practice Address:	SPINECARE OF OKLAHOMA LLC 508 W. 15TH STREET EDMOND OK 73013-3615 Address last updated on 5/2/2024
Phone #:	(405) 840-5100
Fax #:	(405) 840-5102
County:	OKLAHOMA
License:	22294
Dated:	6/29/2001
Expires:	6/1/2025
License Type:	Medical Doctor
Specialty:	Orthopedic Surgery Pain Management (Anesthesiology)

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated:	6 / 1995
CME Year:	2025

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Certifications:	AMERICAN BOARD OF ORTHOPAEDIC SURGERY
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna Elect Choice Aetna HMO Aetna Managed Choice Aetna PPO Beechstreet PPO Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional Blue Cross Blue Shield-Plan 65 Select BlueChoice PPO BlueLincs HMO Champ VA CIGNA HMO CIGNA PPO CommunityCare HMO, Inc Coventry Health Care National Network Dept of Rehabilitation Services (DRS) First Health Great West Healthcare HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue OSMA Health (formerly Plico PPO) Pacificare Commercial HMO PacifiCare of Oklahoma, Inc PHCS (Private Healthcare Systems) Physicians Direct Network Preferred Community Choice Private Healthcare Systems (PHCS) Railroad Medicare SoonerCare HMO SoonerCare PPO Tricare for Life Tricare Standard UniCare Health Plans of Oklahoma United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS
Hospital Privileges:	Southwestern Medical Center Lawton, OK

Locations:	Hours:	Languages:
SPINECARE OF OKLAHOMA LLC 508 W. 15TH STREET EDMOND OK 73013-3615 Phone #: (405) 840-5100 Fax #: (405) 840-5102	Mon: 8:00AM - 4:00PM Tue: 8:00AM - 4:00PM Wed: 8:00AM - 4:00PM Thu: 8:00AM - 4:00PM Fri: 8:00AM - 4:00PM Sat: CLOSED Sun: CLOSED	Spanish
5109 W GORE BLVD Lawton, OK 73505 Phone #: (580) 699-2495 Fax #: (1) 201-	Mon: Tue: 8:00AM - 5:00PM Wed: Thu: 8:00AM - 5:00PM Fri: 8:00AM - 5:00PM Sat: Sun: Satellite Clinic	Spanish

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
ANDREA CHRISTINE LOHMANN	PA	3147