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Shawnee Medical Center Clinic, Inc

Family Medicine Physician in Stroud, OK · enumerated 2011 · authorized official Crystal Pena, Insurance Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487922993

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Registry record

Entity type Organization (Type 2)
Legal business name Shawnee Medical Center Clinic, Inc
Other name <Unavail>
Practice address 2308 W Highway 66, Suite B, Stroud, OK, 74079
Phone (918) 968-4469
Fax (918) 968-1618
Enumeration date Dec 12, 2011
Last updated in NPPES Dec 21, 2011

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Crystal Pena
Title Insurance Credentialing Specialist
Phone (405) 272-7452

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Shawnee Medical Center Clinic, Inc?
NPPES lists Crystal Pena (Insurance Credentialing Specialist) as the authorized official for this organization.
What is the NPI number for Shawnee Medical Center Clinic, Inc?
The NPI for Shawnee Medical Center Clinic, Inc is 1487922993, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-12-21.