SHAWNEE MEDICAL CENTER CLINIC, INC (NPI# 1376041343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376041343 |
| Entity Type | Organization |
| Organization Name | SHAWNEE MEDICAL CENTER CLINIC, INC |
| Other Organization Name | ST ANTHONY SHAWNEE TECUMSEH |
| Practice Address |
418 E Walnut St Tecumseh OK 74873-2200 |
| Practice Telephone | 4055986595 |
| Practice Fax Number | 4055986103 |
| Mailing Telephone | 4055986595 |
| Mailing Fax Number | 4055986103 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |
| Authorized Official Name | CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 4052727452 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM HEALTH CARE OF OKLAHOMA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Anthony Shawnee Tecumseh | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462167 | Shawnee Medical Center Clinic, Inc | Durable Medical Equipment & Medical Supplies | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2019-11-25 |
| 1841832755 | Shawnee Medical Center Clinic, Inc | Anesthesiology | 3012 Arlington St, Ada, OK 74820-3073 | 2019-10-11 |
| 1205301231 | Shawnee Medical Center Clinic, Inc | Social Worker | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2018-10-05 |
| 1508212572 | Shawnee Medical Center Clinic, Inc | Surgery | 3204 Medical Park Dr, Shawnee, OK 74804-5014 | 2016-05-10 |
| 1487922993 | Shawnee Medical Center Clinic, Inc | Family Medicine | 2308 W Highway 66, Suite B, Stroud, OK 74079-6729 | 2011-12-12 |
| 1881648285 | Shawnee Medical Center Clinic, Inc | Dermatology | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2006-05-20 |
| Street Address |
418 E WALNUT ST |
| City | TECUMSEH |
| State | OK |
| Zip Code | 74873-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417061953 | Tecumseh Medical Clinic Pharmacy LLC | Pharmacy | 418 E Walnut St, Suite 100, Tecumseh, OK 74873-2200 | 2006-08-19 |
| 1326558883 | Mckenzie Morgan Battershell | Nurse Practitioner | 418 E Walnut St, Tecumseh, OK 74873-2200 | 2017-10-10 |
| 1427140086 | Tecumseh Medical Clinic PC | Family Medicine | 418 E Walnut St, Tecumseh, OK 74873 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309934 | Roger Blaine Morris | Counselor | 602 N. Harrison, Tecumseh, OK 74873 | 2019-08-01 |
| 1437495025 | Sherri Lynn Mccutcheon | Social Worker | 1300 S. 13th Street, Tecumseh, OK 74873 | 2012-12-31 |
| 1114166485 | Ed Wingfield | Dentist | 700 S. 9th, Tecumseh, OK 74873 | 2009-02-11 |
| 1588748172 | Charles Allen Sims Jr. | Dentist | 115 West Walnut St, Tecumseh, OK 74873 | 2006-10-24 |
| 1295821874 | Justin Ray Phillips | Chiropractor | 602 N. Broadway, Teucumseh, OK 74873 | 2006-10-04 |
| 1982878724 | Gage Lucky 13 LLC | Durable Medical Equipment & Medical Supplies | 503 N Broadway St, Tecumseh, OK 74873 | 2008-04-14 |
| 1750853677 | Melissa Capps | Behavior Technician | 21668 Lilly Dr, Tecumseh, OK 74873-0016 | 2018-12-18 |
| 1972962876 | Christine Loeffler | Radiology | 44493 State Highway 9, Tecumseh, OK 74873-0113 | 2016-02-19 |
| 1700813144 | Ronald M Wayt Dds Inc | Dentist | 1011 N Broadway, Suite 7, Tecumseh, OK 74873-0219 | 2006-06-28 |
| 1912968280 | Jenmark, LLC | Physical Therapist | 1011 N Broadway St, Suite 6, Tecumseh, OK 74873-1431 | 2006-03-28 |
| Find all providers in zip 74873 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497069298 | Deyzi E Owens | Family Medicine | 13126 Tecumseh Rd E, Ste 2, Tecumseh, ON N8N3T6 | 2010-08-04 |
| 1215081500 | Jeffrey A, Stickney,d.o. P C | Family Medicine | 5449 S Occidental Rd, Tecumseh, MI 49286-9782 | 2007-01-23 |
| 1730255357 | Kristen J Bracklein | Family Medicine | 900 Blood Rd, Tecumseh, MI 49286-9575 | 2006-11-27 |
| 1174694186 | Keith W. Shuey | Family Medicine | 292 Broadway Street, Box 60, Tecumseh, NE 68450 | 2006-11-13 |
| 1932123916 | Scott D Straka | Family Medicine | 509 Broadway St, Tecumseh, NE 68450-2306 | 2006-07-26 |
| 1295726628 | John Joseph Kelly | Family Medicine | 115 S Evans St, Tecumseh, MI 49286-1949 | 2005-11-03 |
| 1134114754 | Stephen James Bachmeyer | Family Medicine | 501 E Cummins St, Tecumseh, MI 49286-2070 | 2005-09-20 |
| 1699774133 | Maria Adela A. Cordoba-naguit | Family Medicine | 502 E Cummins St, Tecumseh, MI 49286-2074 | 2005-07-18 |
| 1447253737 | Mark Edward Rigney | Family Medicine | 502 N Broadway St, Tecumseh, OK 74873-2018 | 2005-05-31 |
| 1306126206 | Health Specialists of Lenawee | Family Medicine | 6869 S Occidental Rd, Tecumseh, MI 49286-9784 | 2011-08-23 |
| Find all providers in TECUMSEH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.