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Shawnee Medical Center Clinic, Inc.

Family Medicine Physician in Seminole, OK · enumerated 2019 · authorized official Crystal Pena, Provider Enrollment/Ins Credential.

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

National Provider Identifier

1861034779

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Registry record

Entity type Organization (Type 2)
Legal business name Shawnee Medical Center Clinic, Inc.
Parent organization Ssm Health Care of Oklahoma, Inc
Practice address 2403 W Wrangler Blvd Ste C, Seminole, OK, 74868
Phone (405) 716-3070
Fax (405) 716-3069
Enumeration date Oct 11, 2019
Last updated in NPPES Oct 11, 2019

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Crystal Pena
Title Provider Enrollment/Ins Credential
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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-10-11. Verify at npiregistry.cms.hhs.gov.
Where is Shawnee Medical Center Clinic, Inc. located?
The practice location on file with NPPES is in Seminole, OK.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-10-11.