Shawnee Medical Center Clinic, INC

NPI #1770178170 in Shawnee, Oklahoma

Provider Information

NPI Number: 1770178170
Entity Type: Organization
Organization Name: Shawnee Medical Center Clinic, INC
Subpart: Yes (part of a larger organization)
Parent Organization: SSM HEALTH CARE OF OKLAHOMA, INC.
Primary Specialty: Radiology - Radiation Oncology
Enumeration Date: Mar 8, 2021
Last Updated: Mar 8, 2021

Practice Location

Address: 1102 W MACARTHUR ST
City: Shawnee
State: Oklahoma
ZIP Code: 74804-1743
Phone: (405) 272-7311

Authorized Official

Name: CRYSTAL L PENA
Title: CREDENTIALING SPECIALIST
Phone: (405) 272-7452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Medical Oncology — Medical Oncology	207RX0202X
Radiologic Technologist - Radiation Therapy — Radiation Therapy	2471R0002X
Radiology - Radiation Oncology — Radiation Oncology	2085R0001X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
Marianne Misciagna Young, M.D.	Radiology - Radiation Oncology	Oklahoma City	AI Deep Dive
DR. Astrid Elizabeth Morrison, M.D.	Radiology - Radiation Oncology	Oklahoma City	AI Deep Dive
DR. Teresa G Craig, M.D.	Radiology - Radiation Oncology	Oklahoma City	AI Deep Dive
Christopher H Bozarth, M.D.	Radiology - Radiation Oncology	Midwest City	AI Deep Dive

Organizations

Provider Name	Specialty	City
Eastern Oklahoma Radiation Associates, LLC	Radiology - Radiation Oncology	Shawnee	AI Deep Dive

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