Lookup NPI Numbers from the NPI Registry
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Gastroenterology |
207RG0100X | 10 | Physician/Gastroenterology | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Pain Medicine |
207LP2900X | 05 | Physician/Anesthesiology | |
Pulmonary Disease |
207RP1001X | 11 | Physician/Internal Medicine | |
Rheumatology |
207RR0500X | 11 | Physician/Internal Medicine |
| NPI Number | 1841832755 |
| LBN Legal business name | SHAWNEE MEDICAL CENTER CLINIC, INC |
| Authorized official | CRYSTAL PENA - (PROVIDER ENROLLMENT/INS CREDENTIAL) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 10/11/2019 |
| Last updated | 10/11/2019 - About 7 years ago |
| Identifiers | n/a |
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| CHARLES K JONES, MD 1200 S WALNUT ST PAULS VALLEY, OK |
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| WILSON L DAVIS, MD 610 E 24TH ST TISHOMINGO, OK |
SHAWNEE MEDICAL CENTER CLINIC, INC