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SAINT MEDICAL GROUP, LLC
NPI 1306447172
Family Medicine in Shawnee, OK

Active since November 06, 2020
4651 N HARRISON, SHAWNEE, OK 74804(405) 273-5801(405) 878-3794 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2025, Nov 20, 2020, Nov 6, 2020 (3 updates tracked since 2020).

About Saint Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAINT MEDICAL GROUP, LLC (NPI 1306447172), doing business as Ssm Health Shawnee Ambulatory Care, is a healthcare organization registered as a family medicine in Shawnee, Oklahoma and active in the NPI registry since November 2020. The organization maintains a secondary practice location in Edmond and lists Shasta R Manuel, Vice President - Finance, as its authorized official.

NPPES Registry Identity

NPI1306447172
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAINT MEDICAL GROUP, LLC
Location Address4651 N HARRISONShawnee, OK 74804
Mailing AddressPo Box 958210Saint Louis, MO 63195-8210 · (405) 231-3857 · Fax (405) 272-7977
Phone(405) 273-5801
Fax(405) 878-3794
Organization SubpartNo
Authorized OfficialShasta R ManuelVice President - Finance · (405) 272-7282
Enumeration DateNovember 6, 2020
Last NPPES UpdateSeptember 2, 20253 updates tracked since enumeration
NPPES CertifiedMarch 20, 2024
✔ NPI 1306447172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
4651 N HARRISON, Shawnee, OK 74804
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Other Names 1

Doing Business AsSsm Health Shawnee Ambulatory Care

Secondary Practice Location 1

Location 12749 Progressive Dr, Suite BEdmond, OK 73034 · Phone (405) 772-4110 · Fax (405) 772-4115

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Saint Medical Group, LLC's NPI number?

The NPI number for Saint Medical Group, LLC is 1306447172. It was assigned to this organization in the NPPES registry on November 6, 2020. The provider is doing business as SSM Health Shawnee Ambulatory Care.

Where is Saint Medical Group, LLC located?

Saint Medical Group, LLC is located at 4651 N Harrison, Shawnee, OK 74804. The listed phone number is (405) 273-5801.

What is Saint Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Saint Medical Group, LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.