SHAWNEE MEDICAL CENTER CLINIC, INC
NPI 1770178170
Radiology - Radiation Oncology in Shawnee, OK

Active since March 08, 2021
1102 W MACARTHUR ST, SHAWNEE, OK 74804(405) 272-7311(405) 272-6962 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shawnee Medical Center Clinic, Inc NPPES

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

SHAWNEE MEDICAL CENTER CLINIC, INC (NPI 1770178170), doing business as Ssm Health Radiation Oncology Shawnee, is a healthcare organization registered as a radiation oncology in Shawnee, Oklahoma and active in the NPI registry since March 2021. The organization lists Crystal L Pena, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1770178170
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameSHAWNEE MEDICAL CENTER CLINIC, INC
Location Address1102 W MACARTHUR STShawnee, OK 74804-1743
Mailing Address1102 W Macarthur StShawnee, OK 74804-1743 · (405) 272-7311 · Fax (405) 272-6962
Fax(405) 272-6962
Organization SubpartYesParent: Ssm Health Care Of Oklahoma, Inc.
Authorized OfficialCrystal L PenaCredentialing Specialist · (405) 272-7452
Enumeration DateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
NPI 1770178170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X
Also ListedRadiologic Technologist · Radiation TherapyTaxonomy 2471R0002X
1102 W MACARTHUR ST, Shawnee, OK 74804

Other Names 1

Doing Business AsSsm Health Radiation Oncology Shawnee

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
1102 W MACARTHUR ST
SHAWNEE, OK 74804
Family Medicine
1102 W MACARTHUR ST
SHAWNEE, OK 74804
Hospitalist
1102 W MACARTHUR ST
SHAWNEE, OK 74804
Physician Assistant
1102 W MACARTHUR ST
SHAWNEE, OK 74804
Pharmacist
1102 W MACARTHUR ST
SHAWNEE, OK 74804
Speech-Language Pathologist
1102 W MACARTHUR ST
SHAWNEE, OK 74804
Nurse Practitioner (Family)
1102 W MACARTHUR ST
SHAWNEE, OK 74804
Registered Nurse (Lactation Consultant)
1102 W MACARTHUR ST
SHAWNEE, OK 74804

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 Shawnee Medical Center Clinic, Inc's NPI number?

The NPI number for Shawnee Medical Center Clinic, Inc is 1770178170. It was assigned to this organization in the NPPES registry on March 8, 2021. The provider is doing business as SSM Health Radiation Oncology Shawnee.

Where is Shawnee Medical Center Clinic, Inc located?

Shawnee Medical Center Clinic, Inc is located at 1102 W Macarthur St, Shawnee, OK 74804. The listed phone number is (405) 272-7311.

What is Shawnee Medical Center Clinic, Inc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

When was this NPI record last updated?

The NPPES record for Shawnee Medical Center Clinic, Inc was last updated on March 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.