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

Saints Medical Group, LLC

Organization Family Medicine Physician · NPI 1093395618

Saints Medical Group, LLC is a Family Medicine Physician in Shawnee, Oklahoma. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
6
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

3700 N Kickapoo Ave
Shawnee, OK 74804-1707
Phone: (405) 273-6383
Fax: (405) 273-3748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X
Otolaryngology Physician Taxonomy 207Y00000X
Audiologist Taxonomy 231H00000X
Medical Physician Assistant Taxonomy 363AM0700X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1093395618
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shasta Manuel — Vice President - Finance · (405) 272-7282
Other names Ssm Health Medical Group Shawnee Kickapoo Clinic; Ssm Health Medical Group Shawnee Kickapoo Clinic
NPI enumeratedApril 8, 2021
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address3700 N Kickapoo Ave, Shawnee, OK 74804-1707

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