Orthopaedic Surgery
SHAWNEE MEDICAL CENTER CLINIC, INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1104462167 · enumerated 2019-11-25 · record updated 2019-11-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: CRYSTAL PENA, Credentialing Specialist · (405) 272-7452
Other names: SSM HEALTH MEDICAL GROUP SHAWNEE ORTHO
Addresses and phones
- Mailing address 3315 KETHLEY RD, SHAWNEE, OK, 74804-9638 (405) 273-5801 Fax (405) 878-3794 Google Maps Apple Maps OpenStreetMap
- Practice location 3315 KETHLEY RD, SHAWNEE, OK, 74804-9638 (405) 273-5801 Fax (405) 878-3794 Google Maps Apple Maps OpenStreetMap
Specialties
- Durable Medical Equipment & Medical Supplies 332B00000X
- Orthopaedic Surgery 207X00000X · Primary
In this directory
Locations and evidence
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Practice location
SHAWNEE, OK, 748049638
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.