SSM HEALTH CARE OF OKLAHOMA, INC (NPI# 1336546621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336546621 |
| Entity Type | Organization |
| Organization Name | SSM HEALTH CARE OF OKLAHOMA, INC |
| Other Organization Name | ST ANTHONY PHYSICIANS BREAST CARE |
| Practice Address |
535 Nw 9th St Suite 100 Oklahoma City OK 73102-1070 |
| Practice Telephone | 4052724226 |
| Practice Fax Number | 4052728407 |
| Mailing Telephone | 4052724226 |
| Mailing Fax Number | 4052728407 |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |
| Authorized Official Name | CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST) |
| 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 | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Anthony Physicians Breast Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326555434 | Ssm Health Care of Oklahoma, Inc | Internal Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2018-01-10 |
| 1457894941 | Ssm Health Care of Oklahoma, Inc | Internal Medicine | 305 S 5th St, Enid, OK 73701-5832 | 2016-12-01 |
| 1891245882 | Ssm Health Care of Oklahoma, Inc | Family Medicine | 3400 S Douglas Blvd, Suite 301, Oklahoma City, OK 73150-1001 | 2016-10-13 |
| 1740730720 | Ssm Health Care of Oklahoma, Inc | Internal Medicine | 1111 N Lee Ave, Suite 300, Oklahoma City, OK 73103-2600 | 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 |
| 1316345531 | Ssm Health Care of Oklahoma, Inc | Family Medicine | 6201 N Santa Fe Ave, Suite 1010, Oklahoma City, OK 73118-7538 | 2014-12-22 |
| 1598168635 | Ssm Health Care of Oklahoma, Inc | Psychologist | 608 Nw 9th St, Suite 1100, Oklahoma City, OK 73102-1068 | 2014-10-03 |
| 1437561180 | Ssm Health Care of Oklahoma, Inc | Psychiatry & Neurology | 333 Central Park W, Suite 36, New York, NY 10025-7145 | 2014-05-29 |
| 1801190061 | Ssm Health Care of Oklahoma, Inc | Family Medicine | 6908 E Reno Ave, Building 1, Midwest City, OK 73110-2128 | 2011-01-03 |
| 1184723678 | Ssm Health Care of Oklahoma, Inc | Psychiatry & Neurology | 2129 Sw 59th St, Oklahoma City, OK 73119-7024 | 2006-09-21 |
| Street Address |
535 NW 9TH ST SUITE 100 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73102-1070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679548572 | Timothy J Eldridge | Surgery | 535 Nw 9th St, Oklahoma City, OK 73102-1070 | 2006-02-22 |
| 1730614793 | Timothy James Immonen | Student in an Organized Health Care Education/Training Program | 535 Nw 9th St, #220, Oklahoma City, OK 73102-1070 | 2017-04-27 |
| 1922532613 | Hilary I Graham | Audiologist | 535 Nw 9th St, Suite 300 & 305, Oklahoma City, OK 73102-1070 | 2017-04-19 |
| 1104359728 | Amanda Berry Hill | Student in an Organized Health Care Education/Training Program | 535 Nw 9th St, #220, Oklahoma City, OK 73102-1070 | 2017-04-10 |
| 1407388713 | Osu Center for Health Sciences | Clinic/Center | 535 Nw 9th St, Suite 300, Oklahoma City, OK 73102-1070 | 2017-03-28 |
| 1093254344 | Saints Medical Group, LLC | Otolaryngology | 535 Nw 9th St, Suite 300, Oklahoma City, OK 73102-1070 | 2017-02-20 |
| 1487197497 | Saints Medical Group, LLC | Psychiatry & Neurology | 535 Nw 9th St, Suite 235, Oklahoma City, OK 73102-1070 | 2016-11-22 |
| 1447700422 | St Anthony Physicians Gastroenterology Mob | Internal Medicine | 535 Nw 9th St, Suite 325, Oklahoma City, OK 73102-1070 | 2016-10-13 |
| 1801341474 | Kristi Rice | Pharmacist | 535 Nw 9th St, Suite 103, Oklahoma City, OK 73102-1070 | 2016-08-23 |
| 1881072056 | Danielle Marlene Prentice | Student in an Organized Health Care Education/Training Program | 535 Nw 9th St, #220, Oklahoma City, OK 73102-1070 | 2015-05-08 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642655 | Okc Surgicalists Pllc | Surgery | 4140 W Memorial Rd Ste 408, Oklahoma City, OK 73120-8300 | 2019-01-03 |
| 1811381247 | Mohamad Sidani | Surgery | 800 Stanton L Young Blvd # 9432, Oklahoma City, OK 73104-5018 | 2015-03-24 |
| 1720425390 | Jonathan Green | Surgery | 1200 Everett Dr Ste 2320, Oklahoma City, OK 73104-5047 | 2013-05-23 |
| 1407290844 | Celia Yen Quang | Surgery | 800 Stanton L Young Blvd Ste 9000, Oklahoma City, OK 73104-5018 | 2013-04-27 |
| 1700123916 | Laura Jane Holsey | Surgery | 3543 West Memorial Road, Holsey Cosmetic Surgery & Spa, Oklahoma City, OK 73134 | 2013-01-08 |
| 1619234572 | Esan Kiel Harris | Surgery | 15200 S May Ave, Oklahoma City, OK 73170-8600 | 2012-04-17 |
| 1760788962 | Rowlan Surgical Pllc | Surgery | 3400 Nw Expressway Bldg C, Suite 812, Oklahoma City, OK 73112-4493 | 2011-02-04 |
| 1073822847 | Amanda Michelle Celii | Surgery | 825 Ne 10th St Ste 4g, Oklahoma City, OK 73104-5417 | 2010-09-28 |
| 1396063392 | Laura E Fischer | Surgery | 920 Department of Surgery, Williams Pavilion 2140, Oklahoma City, OK 73104-5033 | 2010-05-14 |
| 1205064730 | Ian Daniel | Surgery | 4827 S Western Ave, Oklahoma City, OK 73109-3835 | 2009-06-23 |
| 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.