Provider Demographics
NPI:1124053624
Name:SCHELBAR, EMIL JOE (MD)
Entity type:Individual
Prefix:
First Name:EMIL
Middle Name:JOE
Last Name:SCHELBAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6600 S YALE AVE STE 1200
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3333
Mailing Address - Country:US
Mailing Address - Phone:918-488-6687
Mailing Address - Fax:918-488-6098
Practice Address - Street 1:6565 S YALE AVE STE 812
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-8309
Practice Address - Country:US
Practice Address - Phone:918-494-9288
Practice Address - Fax:918-494-9289
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK12782207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100194700AMedicaid
OKD35244Medicare UPIN
OK100194700AMedicaid