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

St Anthony Shawnee Hospital Inc

Organization Family Medicine Physician · NPI 1619260411

St Anthony Shawnee Hospital Inc is a Family Medicine Physician in Shawnee, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2011.

Licensed in
OK
In the registry since
2011
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

1102 W Macarthur St
Shawnee, OK 74804-1743
Phone: (405) 878-8110
Fax: (405) 878-8101
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Family Medicine Physician Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X (OK)

Record details

NPI number1619260411
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSSM Health Care of Oklahoma, Inc
Authorized official Shasta Manuel — Vp Finance · (405) 272-7282
Other names St Anthony Shawnee Hospital
NPI enumeratedMay 26, 2011
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing address1102 W Macarthur St, Shawnee, OK 74804-1743

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