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

Shawnee Medical Center Clinic, Inc

Organization Medical Oncology Physician · NPI 1770178170

Shawnee Medical Center Clinic, Inc is a Medical Oncology Physician in Shawnee, Oklahoma. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1102 W Macarthur St
Shawnee, OK 74804-1743
Phone: (405) 272-7311
Fax: (405) 272-6962
Show map & directions

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

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X
Medical Oncology Physician Taxonomy 207RX0202X
Radiation Therapy Radiologic Technologist Taxonomy 2471R0002X

Record details

NPI number1770178170
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 Radiation Oncology Shawnee
NPI enumeratedMarch 8, 2021
Last updated in NPPESMarch 8, 2021
Certification dateMarch 8, 2021
Mailing address1102 W Macarthur St, Shawnee, OK 74804-1743