Shawnee Medical Center Clinic, Inc.
NPI 1861034779 · Family Medicine Physician · Seminole, OK
Shawnee Medical Center Clinic, Inc. is a Family Medicine Physician organization in Seminole, OK (NPI 1861034779).
Provider details
- NPI number
- 1861034779
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Ssm Health Care of Oklahoma, Inc
- Organization subpart
- Yes
- Authorized official
- Crystal Pena, Provider Enrollment/Ins Credential(405) 272-7452
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Ssm Health Medical Group Seminole
Registry dates
- Enumerated
- 2019-10-11
- Last updated
- 2019-10-11
Frequently asked questions
- What is Shawnee Medical Center Clinic, Inc.'s NPI number?
- Shawnee Medical Center Clinic, Inc.'s National Provider Identifier (NPI) is 1861034779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shawnee Medical Center Clinic, Inc.?
- Shawnee Medical Center Clinic, Inc. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shawnee Medical Center Clinic, Inc. located?
- Shawnee Medical Center Clinic, Inc.'s practice location on file with NPPES is 2403 W Wrangler Blvd Ste C, Seminole, OK 74868-1900.
- What is Shawnee Medical Center Clinic, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Shawnee Medical Center Clinic, Inc. is (405) 716-3070.
- Who is the authorized official for Shawnee Medical Center Clinic, Inc.?
- The authorized official listed on Shawnee Medical Center Clinic, Inc.'s NPPES record is Crystal Pena, Provider Enrollment/Ins Credential. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shawnee Medical Center Clinic, Inc.'s NPI active?
- Yes — Shawnee Medical Center Clinic, Inc.'s NPI (1861034779) is active in the NPPES registry as of the last update on 2019-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.