SSM HEALTH CARE OF OKLAHOMA, INC. (NPI# 1336243377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336243377 |
| Entity Type | Organization |
| Organization Name | SSM HEALTH CARE OF OKLAHOMA, INC. |
| Other Organization Name | SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY |
| 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 | 2006-09-11 |
| 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 | 323P00000X | Psychiatric Residential Treatment Facility | 2304 | OK | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100699540L | 05 |
| Other Name | Type Code |
|---|---|
| SSM Health St. Anthony Hospital - Oklahoma City | Doing Business As Name - 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 |
| 1194828608 | Ssm Health Care of Oklahoma, Inc. | Durable Medical Equipment & Medical Supplies | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2006-09-07 |
| 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 | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306964077 | Sequel of Oklahoma, LLC | Psychiatric Residential Treatment Facility | 3301 N Martin Luther King Avenue, Oklahoma City, OK 73111-4216 | 2007-03-27 |
| 1508291055 | Larry J Coffman Sr. | Psychiatric Residential Treatment Facility | 4020 N Lincoln Blvd Ste 100, Oklahoma City, OK 73105-5201 | 2013-09-03 |
| 1174876312 | Yco of Okc, Inc. D/b/a Youthcare of Oklahoma, Inc. | Psychiatric Residential Treatment Facility | 222 E Sheridan Ave, Suite 2, Oklahoma City, OK 73104-4233 | 2012-10-25 |
| 1124345590 | Uhs Oklahoma Ctiy, LLC | Psychiatric Residential Treatment Facility | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2010-04-26 |
| 1588836779 | Uhs Oklahoma City, LLC | Psychiatric Residential Treatment Facility | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2008-03-27 |
| 1336248269 | Ssm Health Care of Oklahoma, Inc. | Psychiatric Residential Treatment Facility | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053853655 | Brittany Jones | Psychiatric Residential Treatment Facility | 1707 Oak Ln, Miami, OK 74354-1429 | 2016-11-14 |
| 1376905976 | Kls Care Centers | Psychiatric Residential Treatment Facility | 17364 State Highway 9, Norman, OK 73072-8732 | 2016-03-23 |
| 1811370471 | William S, Davies, M.d., Inc. | Psychiatric Residential Treatment Facility | 1302 N, W, Lake Ave, Lawton, OK 73507 | 2015-07-01 |
| 1750719886 | Marylee Gaskins | Psychiatric Residential Treatment Facility | 302 E 19th St, Owasso, OK 74055-4612 | 2013-10-29 |
| 1174898852 | Domonique Montrell Lugrand | Psychiatric Residential Treatment Facility | 2220 S Santa Fe Apt 105, Moore, OK 73160-5238 | 2012-03-14 |
| 1447521885 | Childrens Eecovery Center | Psychiatric Residential Treatment Facility | 2220 S Santa Fe Ave Apt 105, Moore, OK 73160-2866 | 2012-01-17 |
| 1144527227 | Riverside Behavioral Health | Psychiatric Residential Treatment Facility | 4618 S 31st West Ave, Tulsa, OK 74107-7532 | 2011-02-25 |
| 1760782882 | Lori Suzanne Frock | Psychiatric Residential Treatment Facility | 66 Overland Rt, Ardmore, OK 73401 | 2010-10-22 |
| 1215261086 | Brenda Sue Mathis | Psychiatric Residential Treatment Facility | 4034 W Roanoke Pl, Broken Arrow, OK 74011-1327 | 2009-09-28 |
| 1346424363 | Southern Plains Treatment Services | Psychiatric Residential Treatment Facility | 310 12th Ave Ne, Norman, OK 73071-5238 | 2007-12-27 |
| Find all providers with the same taxonomy | ||||
| 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.