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

Shawnee Medical Center Clinic, Inc

Organization Orthopaedic Surgery Physician · NPI 1104462167

Shawnee Medical Center Clinic, Inc is an Orthopaedic Surgery Physician in Shawnee, Oklahoma. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3315 Kethley Rd
Shawnee, OK 74804-9638
Phone: (405) 273-5801
Fax: (405) 878-3794
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1104462167
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSSM Health Care of Oklahoma, Inc
Authorized official Crystal Pena — Credentialing Specialist · (405) 272-7452
Other names Ssm Health Medical Group Shawnee Ortho
NPI enumeratedNovember 25, 2019
Last updated in NPPESNovember 25, 2019
Mailing address3315 Kethley Rd, Shawnee, OK 74804-9638

Other providers in Shawnee