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

Shawnee Medical Center Clinic, Inc

Organization Pain Medicine (Anesthesiology) Physician · NPI 1841832755

Shawnee Medical Center Clinic, Inc is a Pain Medicine (Anesthesiology) Physician in Ada, Oklahoma. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
7
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

3012 Arlington St
Ada, OK 74820-3073
Phone: (580) 272-0715
Fax: (580) 272-0772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Gastroenterology Physician Taxonomy 207RG0100X
Pulmonary Disease Physician Taxonomy 207RP1001X
Rheumatology Physician Taxonomy 207RR0500X

Record details

NPI number1841832755
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSSM Health Care of Oklahoma, Inc
Authorized official Crystal Pena — Provider Enrollment/Ins Credential · (405) 272-7452
Other names Ssm Health Specialty Clinic Ada
NPI enumeratedOctober 11, 2019
Last updated in NPPESOctober 11, 2019
Mailing address3012 Arlington St, Ada, OK 74820-3073

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