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

Saint Medical Group, LLC

Organization Dermatology Physician · NPI 1306447172

Saint Medical Group, LLC is a Dermatology Physician in Shawnee, Oklahoma. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4651 N Harrison
Shawnee, OK 74804
Phone: (405) 273-5801
Fax: (405) 878-3794
Show map & directions

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

Additional practice locations (1)

  • 2749 Progressive Dr, Edmond, OK 73034 — (405) 772-4110

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Dermatology Physician Taxonomy 207N00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Diagnostic Radiology Physician Taxonomy 2085R0202X

Record details

NPI number1306447172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shasta Manuel — Vice President - Finance · (405) 272-7282
Other names Ssm Health Shawnee Ambulatory Care
NPI enumeratedNovember 6, 2020
Last updated in NPPESSeptember 2, 2025
Certification dateMarch 20, 2024
Mailing addressPo Box 958210, Saint Louis, MO 63195-8210

Other providers in Shawnee