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SHAWNEE MEDICAL CENTER CLINIC, INC.
NPI 1861034779
Family Medicine in Seminole, OK

Active since October 11, 2019
2403 W WRANGLER BLVD STE C, SEMINOLE, OK 74868(405) 716-3070(405) 716-3069 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 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 1861034779), doing business as Ssm Health Medical Group Seminole, is a healthcare organization registered as a family medicine in Seminole, 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

NPI1861034779
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHAWNEE MEDICAL CENTER CLINIC, INC.
Location Address2403 W WRANGLER BLVD STE CSeminole, OK 74868-1900
Mailing Address2403 W Wrangler Blvd Ste CSeminole, OK 74868-1900 · (405) 716-3070 · Fax (405) 716-3069
Phone(405) 716-3070
Fax(405) 716-3069
Organization SubpartYesParent: Ssm Health Care Of Oklahoma, Inc
Authorized OfficialCrystal L PenaProvider Enrollment/ins Credential · (405) 272-7452
Enumeration DateOctober 11, 2019
✔ NPI 1861034779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
2403 W WRANGLER BLVD STE C, Seminole, OK 74868
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Other Names 1

Doing Business AsSsm Health Medical Group Seminole

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

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

JENNA GEOHAGAN M.D.
Family Medicine
2403 W WRANGLER BLVD STE C
SEMINOLE, OK 74868
Seminole County (405) 716-3070

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 1861034779. It was assigned to this organization in the NPPES registry on October 11, 2019. The provider is doing business as SSM Health Medical Group Seminole.

Where is Shawnee Medical Center Clinic, Inc. located?

Shawnee Medical Center Clinic, Inc. is located at 2403 W Wrangler Blvd Ste C, Seminole, OK 74868. The listed phone number is (405) 716-3070.

What is Shawnee Medical Center Clinic, Inc.'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 Shawnee Medical Center Clinic, Inc. was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.