SSM HEALTHCARE OF OK, INC (NPI# 1154681450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154681450 |
| Entity Type | Organization |
| Organization Name | SSM HEALTHCARE OF OK, INC |
| Other Organization Name | ST ANTHONY PHYSICIANS - MIDTOWN RENAL CARE |
| Practice Address |
810 Nw 10th St Suite A Oklahoma City OK 73106-7215 |
| Mailing Address |
Po Box 269064 Oklahoma City OK 73126-9064 |
| Practice Telephone | 4052728367 |
| Practice Fax Number | 4052728373 |
| Mailing Telephone | 4052727452 |
| Mailing Fax Number | 4052727937 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |
| Authorized Official Name | CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 4052727452 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM HEALTHCARE OF OK, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
22892 | OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Anthony Physicians - Midtown Renal Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780953240 | Ssm Healthcare of Ok, Inc | Family Medicine | 13500 S Tulsa Drive, Oklahoma City, OK 73170 | 2011-12-29 |
| 1063850832 | Ssm Healthcare of Ok, Inc | Internal Medicine | 608 Nw 9th St, Suite 4000, Oklahoma City, OK 73102-1068 | 2013-06-13 |
| 1073853297 | Ssm Healthcare of Ok, Inc | Internal Medicine | 608 Nw 9th St, Suite 6110, Oklahoma City, OK 73102-1068 | 2013-02-25 |
| 1912244997 | Ssm Healthcare of Ok, Inc | Internal Medicine | 608 Nw 9th St, Suite 4106, Oklahoma City, OK 73102-1068 | 2013-01-10 |
| 1720334675 | Ssm Healthcare of Ok, Inc | Internal Medicine | 608 Nw 9th St, Suite 5000, Oklahoma City, OK 73102-1068 | 2012-07-30 |
| 1043576606 | Ssm Healthcare of Ok, Inc | Internal Medicine | 608 Nw 9th St, Suite 6200, Oklahoma City, OK 73102-1068 | 2012-04-09 |
| 1871862334 | Ssm Healthcare of Ok, Inc | Family Medicine | 3400 S Douglas Blvd, Oklahoma City, OK 73150 | 2011-12-29 |
| 1124300512 | Ssm Healthcare of Ok, Inc | Clinic/Center | 1000 N Lee Ave, 4th Floor, Oklahoma City, OK 73102-1036 | 2011-09-13 |
| 1710272844 | Ssm Healthcare of Ok, Inc | Family Medicine | 8241 S Walker Ave, Suite 100, Oklahoma City, OK 73139-9401 | 2011-06-16 |
| 1336338334 | Ssm Healthcare of Ok, Inc | Obstetrics & Gynecology | 608 Nw 9th St, Suite 5000, Oklahoma City, OK 73102-1068 | 2007-10-16 |
| Street Address |
810 NW 10TH ST SUITE A |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73106-7215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134272933 | Rajesh Kumar | Internal Medicine | 810 Nw 10th St, Suite A, Oklahoma City, OK 73106-7215 | 2007-01-18 |
| 1982072914 | Pankaj Baluja Pllc | Specialist | 810 Nw 10th St, Suite A, Oklahoma City, OK 73106-7215 | 2015-09-08 |
| 1710282819 | Sarah Thompson | Physician Assistant | 810 Nw 10th St, Suite A, Oklahoma City, OK 73106-7216 | 2011-01-20 |
| 1669793915 | Fresenius Medical Care Southeast Oklahoma City, LLC | Clinic/Center | 810 Nw 10th St, Oklahoma City, OK 73106-7218 | 2010-06-21 |
| 1871730333 | Rajesh Kumar Md Pllc | Internal Medicine | 810 Nw 10th St, Suite A, Oklahoma City, OK 73106-7215 | 2009-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
| 1598290538 | Eric T Manuel | Counselor | 1841 Nw 18th Street, Oklahoma City, OK 73106 | 2017-04-27 |
| 1679010516 | Danny Lee Stone | Peer Specialist | 3010 N Mckinley Ave, Oklahoma City, OK 73106 | 2017-01-31 |
| 1245683929 | Shandi Alphonso | Peer Specialist | 1219 N.w. 9th St., Okc, OK 73106 | 2016-07-19 |
| 1033593173 | Good Journey Hospice, LLC | Hospice Care, Community Based | 901 Nw 25th, Room 2, Oklahoma City, OK 73106 | 2015-07-18 |
| 1114317435 | Savanah Brook Caddel | Counselor | 1251 Nw 25th St, Oklahoma City, OK 73106 | 2015-01-24 |
| 1619381084 | Theressa Hall | Case Manager/Care Coordinator | 1330 N. Classen Blvd, Suite 302, Oklahoma City, OK 73106 | 2014-06-13 |
| 1417376021 | Christe Lyn Sweat | Case Manager/Care Coordinator | 900 Nw 10 Street, Oklahoma City, OK 73106 | 2014-04-10 |
| 1003169004 | Jessica Stevie Schrameck | Counselor | 1017 Nw 6th St., Oklahoma City, OK 73106 | 2012-10-16 |
| 1841579166 | Frances Bernice Pasternik | Counselor | 2220 North Classen Blvd, Suite E, Oklahoma City, OK 73106 | 2011-08-04 |
| Find all providers in zip 73106 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710416573 | Universal Kidney Care of Oklahoma Pllc | Internal Medicine | 5300 N Independence Ave Ste 280, Oklahoma City, OK 73112-5555 | 2017-06-06 |
| 1710393160 | Narisorn Atsava-svate | Internal Medicine | 3400 Nw Expressway Ste 700, Oklahoma City, OK 73112-4492 | 2014-07-07 |
| 1730515362 | Fazal Akbar Ali Md PC | Internal Medicine | 4221 S Western Ave Ste 5020, Oklahoma City, OK 73109-3445 | 2013-09-14 |
| 1609030345 | Ahmad Bilal | Internal Medicine | 3366 Nw Expressway #730, Bldg D, Oklahoma City, OK 73112 | 2008-07-11 |
| 1134272933 | Rajesh Kumar | Internal Medicine | 810 Nw 10th St, Suite A, Oklahoma City, OK 73106-7215 | 2007-01-18 |
| 1265510101 | Radhika Medipalli | Internal Medicine | 13901 Mcauley Blvd Ste 303, Oklahoma City, OK 73134-8704 | 2006-11-01 |
| 1770684037 | Gigi J Toma | Internal Medicine | 810 Nw 10th Street, Suite A, Oklahoma City, OK 73106 | 2006-09-26 |
| 1033146550 | T V Venkataraman | Internal Medicine | 1110 N Classen Blvd Ste 200, Oklahoma City, OK 73106 | 2006-06-28 |
| 1851351969 | Leroy Southmayd IIi | Internal Medicine | 1202 W Wilshire Blvd, Oklahoma City, OK 73116-6109 | 2006-03-23 |
| 1326047226 | Chris M Sholer | Internal Medicine | 4334 Nw Expressway Ste 106, Oklahoma City, OK 73116-1515 | 2005-07-21 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73106 |
Please comment or provide details below to improve the information on SSM HEALTHCARE OF OK, INC.
| 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.