SSM HEALTH CARE OF OKLAHOMA, INC. (NPI# 1194828608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194828608 |
| Entity Type | Organization |
| Organization Name | SSM HEALTH CARE OF OKLAHOMA, INC. |
| Other Organization Name | ST. ANTHONY HOSPITAL DME |
| Practice Address |
1000 N Lee Ave Oklahoma City OK 73102 |
| Mailing Address |
1000 N Lee Ave Oklahoma City OK 73102-1036 |
| Practice Telephone | 4052727000 |
| Mailing Telephone | 4052727000 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | SHASTA RENE MANUEL (REGIONAL VP - FINANCE) |
| Authorized Official Telephone | 4052727279 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM HEALTH CARE OF OKLAHOMA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 2304 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100728880P | 05 |
| Other Name | Type Code |
|---|---|
| SSM Health St. Anthony Hospital - Oklahoma City | Doing Business As Name - Organization |
| St. Anthony Hospital DME | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437476561 | Ssm Health Care of Oklahoma, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2010-04-29 |
| 1649593203 | Ssm Health Care of Oklahoma, Inc. | Clinic/Center | 608 Nw 9th St, Suite 1100, Oklahoma City, OK 73102-1068 | 2010-03-10 |
| 1033283932 | Ssm Health Care of Oklahoma, Inc. | Internal Medicine | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2006-11-20 |
| 1114025012 | Ssm Health Care of Oklahoma, Inc. | Psychiatric Unit | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2006-09-21 |
| 1730288663 | Ssm Health Care of Oklahoma, Inc. | Rehabilitation Unit | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2006-09-21 |
| 1336248269 | Ssm Health Care of Oklahoma, Inc. | Psychiatric Residential Treatment Facility | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2006-09-21 |
| 1336243377 | Ssm Health Care of Oklahoma, Inc. | Psychiatric Residential Treatment Facility | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2006-09-11 |
| 1366545311 | Ssm Health Care of Oklahoma, Inc. | General Acute Care Hospital | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2006-09-06 |
| 1396848651 | Ssm Health Care of Oklahoma, Inc. | Dentist | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2006-09-05 |
| Street Address |
1000 N LEE AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619902 | Kevin Jay Mckeown | Anesthesiology | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2005-06-16 |
| 1912516394 | Katelyn Ann Puryear | Physician Assistant | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2020-07-30 |
| 1518575406 | Julian Mahan Lowell | Nurse Practitioner | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2020-07-16 |
| 1730702895 | Michelle Mcnamara | Physician Assistant | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2020-05-24 |
| 1992345672 | Heather Dawn Smith-kenney | Dietitian, Registered | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2020-01-10 |
| 1265084693 | Laney T Combs | Nurse Practitioner | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2019-07-16 |
| 1396307328 | Physician Management Services of Oklahoma II, LLC | Family Medicine | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2019-06-29 |
| 1770140014 | Deepika Mohan | Pharmacist | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2019-05-22 |
| 1477029452 | Donna Sue Drew | Registered Nurse | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2018-10-17 |
| 1497221626 | Mackenzie Borden | Nurse Practitioner | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2018-10-15 |
| Find all providers in the same location | ||||
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870700 | Madison Medical, LLC | Durable Medical Equipment & Medical Supplies | 701 Cedar Lake Blvd Ste 151, Oklahoma City, OK 73114-7818 | 2020-10-28 |
| 1033755426 | Saint Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1110 N Lee Ave Ste 200, Oklahoma City, OK 73103-2612 | 2019-11-21 |
| 1235775628 | Saint Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 13500 S Tulsa Dr Ste 301, Oklahoma City, OK 73170-9721 | 2019-11-21 |
| 1225674617 | Saint Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 3400 S Douglas Blvd Ste 302, Oklahoma City, OK 73150-1018 | 2019-11-21 |
| 1871140822 | Rs Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 8126 W Britton Rd Apt 1, Oklahoma City, OK 73132-1364 | 2019-08-23 |
| 1568015659 | Epic Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2249 Nw 39th St, Oklahoma City, OK 73112-8831 | 2019-07-18 |
| 1033761366 | Dmeworx LLC | Durable Medical Equipment & Medical Supplies | 3114 Nw 42nd St, Oklahoma City, OK 73112-6224 | 2019-07-16 |
| 1144795634 | Rto Distributors, LLC | Durable Medical Equipment & Medical Supplies | 7725 W Reno Ave Ste 399, Oklahoma City, OK 73127-9712 | 2018-10-10 |
| 1801374822 | Ventilateok LLC | Durable Medical Equipment & Medical Supplies | 4401 Nw 4th St Ste 133, Oklahoma City, OK 73107-6540 | 2018-08-01 |
| 1841785888 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5324 W Reno Ave Ste A, Oklahoma City, OK 73127-6359 | 2018-06-22 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73102 |
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| 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.