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 Family Medicine Physician · NPI 1861034779

Shawnee Medical Center Clinic, Inc is a Family Medicine Physician in Seminole, Oklahoma. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
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

2403 W Wrangler Blvd Ste C
Seminole, OK 74868-1900
Phone: (405) 716-3070
Fax: (405) 716-3069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1861034779
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 Medical Group Seminole
NPI enumeratedOctober 11, 2019
Last updated in NPPESOctober 11, 2019
Mailing address2403 W Wrangler Blvd Ste C, Seminole, OK 74868-1900

Other providers in Seminole