SHAWNEE MEDICAL CENTER CLINIC, INC
NPI 1841832755
Internal Medicine - Cardiovascular Disease in Ada, OK

Q: What is Shawnee Medical Center Clinic, Inc's NPI number?

The NPI number for Shawnee Medical Center Clinic, Inc is 1841832755. It was assigned to this organization in the NPPES registry on October 11, 2019. The provider is doing business as SSM Health Specialty Clinic Ada.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since October 11, 2019

3012 ARLINGTON ST, ADA, OK 74820(580) 272-0715(580) 272-0772 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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 1841832755), doing business as Ssm Health Specialty Clinic Ada, is a healthcare organization registered as a cardiovascular disease in Ada, Oklahoma and active in the NPI registry since October 2019. The organization lists Crystal L Pena, Provider Enrollment/ins Credential, as its authorized official.

NPPES Registry Identity

NPI1841832755

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameSHAWNEE MEDICAL CENTER CLINIC, INC

Location Address3012 ARLINGTON STAda, OK 74820-3073

Mailing Address3012 Arlington StAda, OK 74820-3073 · (580) 272-0715 · Fax (580) 272-0772

Phone(580) 272-0715

Fax(580) 272-0772

Organization SubpartYesParent: Ssm Health Care Of Oklahoma, Inc

Authorized OfficialCrystal L PenaProvider Enrollment/ins Credential · (405) 272-7452

Enumeration DateOctober 11, 2019

✔ NPI 1841832755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

3012 ARLINGTON ST, Ada, OK 74820

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Other Names 1

Doing Business AsSsm Health Specialty Clinic Ada

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 5

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

TROY R NORRED MD PC

Internal Medicine (Interventional Cardiology)