SAINT MEDICAL GROUP, LLC (NPI# 1295363620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295363620 |
Entity Type | Organization |
Organization Name | SAINT MEDICAL GROUP, LLC |
Practice Address |
3400 S Douglas Blvd Ste 307 Oklahoma City OK 73150-1001 |
Practice Telephone | 4052182582 |
Practice Fax Number | 4052182587 |
Mailing Telephone | 4052182582 |
Mailing Fax Number | 4052182587 |
Enumeration Date | 2020-03-31 |
Last Update Date | 2020-03-31 |
Authorized Official Name | CRYSTAL L PENA (PROVIDER ENROLLMENT 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
SSM Health Medical Group ARIC Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861019663 | Saint Medical Group, LLC | Obstetrics & Gynecology | 535 Nw 9th St Ste 210, Oklahoma City, OK 73102-1072 | 2020-06-29 |
1457972366 | Saint Medical Group, LLC | Pediatrics | 3400 S Douglas Blvd Ste 307a, Oklahoma City, OK 73150-1001 | 2020-05-01 |
1669018057 | Saint Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 201 S Sara Rd Ste 201, Mustang, OK 73064-4306 | 2019-11-21 |
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 |
1356803308 | Saint Medical Group, LLC | Clinic/Center | 2315 Parkview Dr Ste 2a, El Reno, OK 73036-2149 | 2019-04-01 |
1992267959 | Saint Medical Group, LLC | Clinic/Center | 2315 Parkview Dr Ste 2b, El Reno, OK 73036-2149 | 2019-04-01 |
1548725302 | Saint Medical Group, LLC | Internal Medicine | 3525 Nw 56th St Ste 150c, Oklahoma City, OK 73112-4516 | 2019-02-06 |
1790267169 | Saint Medical Group, LLC | Family Medicine | 13401 N Western Ave Ste 100, Oklahoma City, OK 73114-1409 | 2018-09-03 |
Street Address |
3400 S DOUGLAS BLVD STE 307 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73150-1001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386069227 | Joan Lynn Miller | Nurse Practitioner | Tinker Air Force Base, 72nd Medical Group Building 1094, Air Depot Blvd, Fpo, AA 73150 | 2014-03-02 |
1942281027 | Larry Todd Olsen | Orthopaedic Surgery | 3400 S Douglas Blvd, 302, Oklahoma City, OK 73150 | 2005-11-07 |
1437141793 | Paul L Preslar | Family Medicine | 3400 S Douglas Blvd Ste 200, Oklahoma City, OK 73150 | 2005-08-22 |
1871862334 | Ssm Healthcare of Ok, Inc | Family Medicine | 3400 S Douglas Blvd, Oklahoma City, OK 73150 | 2011-12-29 |
1235129099 | Richard D Hanes | Physician Assistant | 1000 Kingfisher Hospital Drive, Kingfisher, OK 73150-0059 | 2005-10-24 |
1437774874 | Saints Medical Group, LLC | Physical Medicine & Rehabilitation | 3400 S Douglas Blvd Ste 306, Oklahoma City, OK 73150-1001 | 2020-06-11 |
1457972366 | Saint Medical Group, LLC | Pediatrics | 3400 S Douglas Blvd Ste 307a, Oklahoma City, OK 73150-1001 | 2020-05-01 |
1891245882 | Ssm Health Care of Oklahoma, Inc | Family Medicine | 3400 S Douglas Blvd, Suite 301, Oklahoma City, OK 73150-1001 | 2016-10-13 |
1811442197 | Ssm Health Care of Oklahoma, Inc | Pharmacy | 3400 S Douglas Blvd, Suite 100, Oklahoma City, OK 73150-1001 | 2016-08-17 |
1255785929 | Kelli Lynn Schock | Nurse Practitioner | 3400 S Douglas Blvd, Oklahoma City, OK 73150-1001 | 2016-04-19 |
Find all providers in zip 73150 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164039632 | Axiom Medical Solutions, LLC | Family Medicine | 14132 Se 134th St, Oklahoma City, OK 73165-7669 | 2020-09-28 |
1104437219 | L and M Investments LLC | Family Medicine | 6001 Nw 139th St, Oklahoma City, OK 73142-1919 | 2020-08-12 |
1235748617 | Brook Noel Leland | Family Medicine | 3329 Nw 22nd St, Oklahoma City, OK 73107-3021 | 2020-07-30 |
1043835176 | Thomas Patrick Owens IIi | Family Medicine | 900 Ne 10th Street, Oklahoma City, OK 73104-5420 | 2020-06-15 |
1730703562 | Michael Williamson | Family Medicine | 3500 Nw 56th St Ste 10, Oklahoma City, OK 73112-4529 | 2020-06-08 |
1881220580 | Sarah Laing | Family Medicine | 1111 N Lee Ave Ste 305, Oklahoma City, OK 73103-2620 | 2020-03-14 |
1881225290 | Neans Lynn Denson | Family Medicine | 2815 Sw 119th St, Oklahoma City, OK 73170-2605 | 2020-02-04 |
1114563699 | Aim Health Clinics, LLC | Family Medicine | 2301 W I 44 Service Rd Ste 310, Oklahoma City, OK 73112-8729 | 2019-11-20 |
1841843265 | Stephanie N White | Family Medicine | 3400 Nw Expressway Bldg C-815, Oklahoma City, OK 73112-4493 | 2019-07-24 |
1871068239 | Today Clinic South Okc LLC | Family Medicine | 1317 Se 44th St Ste I, Oklahoma City, OK 73129-6907 | 2018-10-11 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73150 |
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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.