NPIMap

Organization Active NPI

Shawnee Medical Center Clinic, Inc.

Doing business as St. Anthony Physicians Meeker

  • Family Medicine Physician
  • Meeker, OK
National Provider Identifier
1386016962
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHAWNEE MEDICAL CENTER CLINIC, INC.
Doing business as
St. Anthony Physicians Meeker
Practice address
102 W. Carl Hubbell Blvd.
Meeker, OK 74855
Phone
(405) 279-4281
Fax
(405) 279-4285
NPI assigned
Oct 22, 2015
Last updated
Oct 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barbara D. Adams
Title
Accountant/Credentialing
Phone
(405) 395-3931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

102 W. Carl Hubbell Blvd.
Meeker, OK 74855

Mailing address

PO Box 849
Shawnee, OK 74802-0849
Phone (405) 279-4281

Other names 1

  • St. Anthony Physicians Meeker Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shawnee Medical Center Clinic Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

102 W Carl Hubbell Blvd
Meeker, OK 74855
Phone (405) 279-4281

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1386016962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748020849",
            "telephone_number": "405-279-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W. CARL HUBBELL BLVD.",
            "city": "MEEKER",
            "state": "OK",
            "postal_code": "74855",
            "telephone_number": "405-279-4281",
            "fax_number": "405-279-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNEE MEDICAL CENTER CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ACCOUNTANT/CREDENTIALING",
        "authorized_official_telephone_number": "405-395-3931"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Anthony Physicians Meeker",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meeker, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.