OrganizationActive
Shawnee Medical Center Clinic, Inc
NPI 1770178170 · Radiation Oncology Physician · Shawnee, OK
Provider details
- NPI number
- 1770178170
- Entity type
- Organization
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Ssm Health Care of Oklahoma, Inc.
- Organization subpart
- Yes
- Authorized official
- Crystal Pena, Credentialing Specialist(405) 272-7452
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Medical Oncology Physician207RX0202X
Allopathic & Osteopathic Physicians
Technologists, Technicians & Other Technical Service Providers
Practice location
1102 W Macarthur St
Shawnee, OK 74804-1743
Phone: (405) 272-7311
Fax: (405) 272-6962
Approximate (ZIP-level) locationGet directions
Mailing address
1102 W Macarthur St
Shawnee, OK 74804-1743
Other names (DBA / former)
- Doing business as
- Ssm Health Radiation Oncology Shawnee
Registry dates
- Enumerated
- 2021-03-08
- Last updated
- 2021-03-08
- Certified
- 2021-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.