SAINTS MEDICAL GROUP, LLC (NPI# 1134688146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134688146 |
| Entity Type | Organization |
| Organization Name | SAINTS MEDICAL GROUP, LLC |
| Practice Address |
535 Nw 9th St Ste 220 Oklahoma City OK 73102-1072 |
| Practice Telephone | 4052728498 |
| Practice Fax Number | 4052728425 |
| Mailing Telephone | 4052728498 |
| Mailing Fax Number | 4052728425 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |
| Authorized Official Name | CRYSTAL L PENA (PROVIDER ENROLLMENT) |
| 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 | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| SSM Health Medical Group Women's Behavioral Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1144836206 | Saints Medical Group, LLC | Obstetrics & Gynecology | 5604 Se 67th St, Oklahoma City, OK 73135-1719 | 2020-09-23 |
| 1437774874 | Saints Medical Group, LLC | Physical Medicine & Rehabilitation | 3400 S Douglas Blvd Ste 306, Oklahoma City, OK 73150-1001 | 2020-06-11 |
| 1285138032 | Saints Medical Group, LLC | Dermatology | 1440 N Mustang Road, Mustang, OK 73064-7214 | 2018-03-19 |
| 1720325533 | Saints Medical Group, LLC | Dermatology | 9720 Broadway Extension, Oklahoma City, OK 73114 | 2013-01-14 |
| 1396034047 | Saints Medical Group, LLC | Neurological Surgery | 800 Nw 9th St Ste 201, Oklahoma City, OK 73106-7253 | 2011-04-04 |
| 1235382540 | Saints Medical Group, LLC | Family Medicine | 2002 N Council Ave, Blanchard, OK 73010 | 2008-10-30 |
| 1659528222 | Saints Medical Group, LLC | Family Medicine | 10700 S Penn Ave, Oklahoma City, OK 73170-4206 | 2008-08-26 |
| 1699948646 | Saints Medical Group, LLC | Nurse Practitioner | 7101 Nw 23rd St, Bethany, OK 73008-5159 | 2008-04-10 |
| 1366644577 | Saints Medical Group, LLC | Physician Assistant | 2401 Sw 23rd St, Suite 101, Oklahoma City, OK 73108 | 2007-06-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | SAINTS MEDICAL GROUP, LLC | 1000 N Lee, Oklahoma City, OK 73101 |
| Street Address |
535 NW 9TH ST STE 220 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73102-1072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649603895 | Tandi Jean Mize | Social Worker | 535 Nw 9th St Ste 220, Oklahoma City, OK 73102-1072 | 2013-08-12 |
| 1740779065 | William Kolby Ball | Student in an Organized Health Care Education/Training Program | 535 Nw 9th St Ste 220, Oklahoma City, OK 73102-1072 | 2018-05-02 |
| 1932696739 | Lauren E Kollmorgen | Student in an Organized Health Care Education/Training Program | 535 Nw 9th St Ste 220, Oklahoma City, OK 73102-1072 | 2018-04-17 |
| 1285121061 | Danielle Lee Allen-herried | Student in an Organized Health Care Education/Training Program | 535 Nw 9th St Ste 220, Oklahoma City, OK 73102-1072 | 2018-04-17 |
| 1477059574 | Sean Patrick Hogan | Student in an Organized Health Care Education/Training Program | 535 Nw 9th St Ste 220, Oklahoma City, OK 73102-1072 | 2018-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
| 1013434117 | Mark Jeffrey Allison I | Case Manager/Care Coordinator | 400 North Walker Avenue, Suite 190, Oklahoma City, OK 73102 | 2017-08-29 |
| 1770009052 | Christopher Minh Nguyen | Clinical Neuropsychologist | 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 | 2017-08-17 |
| 1700263928 | Micaela Lupov | Physician Assistant | 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 | 2015-04-27 |
| 1639577885 | La Fuente Prosthetics | Prosthetic/Orthotic Supplier | 229 N.w. 9th Street, Oklahoma City, OK 73102 | 2014-12-19 |
| 1518378603 | Whitney Thorne | Surgery | 608 Nw 9th St Ste 2200, Oklahoma City, OK 73102 | 2014-05-12 |
| 1356680078 | Dustin W Choate | Counselor | 101 Park Ave Ste 1300, Oklahoma City, OK 73102 | 2013-02-01 |
| 1174889778 | Sailesh Arulkumar | Anesthesiology | 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 | 2012-04-09 |
| 1790092328 | Stephanie Brill | Counselor | 415 Nw 5th Street, Oklahoma City, OK 73102 | 2010-09-02 |
| 1205157120 | Mohammad Omar Ramadan | Urology | Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 | 2010-06-15 |
| Find all providers in zip 73102 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427678499 | Kelly Renee Merrick | Social Worker | 7817 Sw 87th Cir, Oklahoma City, OK 73169-7800 | 2020-04-20 |
| 1477198240 | Jesse M. Massie | Social Worker | 1330 N Classen Blvd Ste 316, Oklahoma City, OK 73106-6834 | 2019-11-15 |
| 1952836223 | Jimmi Holmes | Social Worker | 9201 S Western Ave Ste A-21, Oklahoma City, OK 73139-2742 | 2017-04-25 |
| 1144760877 | Kara Michele Armstrong | Social Worker | 5021 S Stiles Ave, Oklahoma City, OK 73129-3441 | 2017-02-28 |
| 1841735131 | Austin Paul Ortega | Social Worker | 6601 Bluewater Rd, Oklahoma City, OK 73165-9651 | 2016-12-22 |
| 1952859142 | Charlotte M Donahue | Social Worker | 5604 Nw 109th St, Oklahoma City, OK 73162-5823 | 2016-09-15 |
| 1871941260 | Shakalia Owens | Social Worker | 811 Nw 111th St, Oklahoma City, OK 73114-6910 | 2016-05-26 |
| 1841644200 | Amber Grimes | Social Worker | 5009 N Penn Ave Ste 114, Oklahoma City, OK 73112-8888 | 2016-04-21 |
| 1649631409 | April Ajanwachukwu | Social Worker | 1309 N Nebraska Ave, Oklahoma City, OK 73117 | 2016-03-08 |
| 1639543077 | Katina Heatherington | Social Worker | 2300 Nw 114th St, Oklahoma City, OK 73120-7307 | 2015-11-23 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73102 |
Please comment or provide details below to improve the information on SAINTS MEDICAL GROUP, LLC.
| 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.