Organization · Type 2 NPI

ST Anthony Shawnee Hospital Inc

Surgery Physician · Shawnee, OK

NPI number 1619260411 Active

Practice location

1102 W Macarthur St
Shawnee, OK 74804-1743

Fax (405) 878-8101

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Cardiovascular Disease Physician	207RC0000X	None listed
Surgery Physician Primary	208600000X	None listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

39 other providers at this address

NPI record

NPI: 1619260411
Entity type: Organization (Type 2)
Issued: May 26, 2011
Last updated: Aug 5, 2025
Status: Active
Subpart: Yes of SSM Health Care of Oklahoma, Inc.

Other names

<unavail>
ST Anthony Shawnee Hospital · doing business as

Authorized official

Mr. Shasta Manuel
VP Finance
(405) 272-7282

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1619260411

ST Anthony Shawnee Hospital Inc's National Provider Identifier is 1619260411, issued on May 26, 2011. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Shawnee, OK. The record was last updated on Aug 5, 2025.