SAINTS MEDICAL GROUP, LLC (NPI# 1407211048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407211048 |
| Entity Type | Organization |
| Organization Name | SAINTS MEDICAL GROUP, LLC |
| Other Organization Name | ST ANTHONY PHYSICIANS RHEUMATOLOGY |
| Practice Address |
13401 N Western Ave Suite 210 Oklahoma City OK 73114-1408 |
| Practice Telephone | 4052724953 |
| Practice Fax Number | 4052724956 |
| Mailing Telephone | 4052724953 |
| Mailing Fax Number | 4052724956 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2019-03-25 |
| 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 | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Anthony Physicians Rheumatology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1144836206 | Saints Medical Group, LLC | Obstetrics & Gynecology | 5604 Se 67th St, Oklahoma City, OK 73135-1719 | 2020-09-23 |
| 1437774874 | Saints Medical Group, LLC | Physical Medicine & Rehabilitation | 3400 S Douglas Blvd Ste 306, Oklahoma City, OK 73150-1001 | 2020-06-11 |
| 1285138032 | Saints Medical Group, LLC | Dermatology | 1440 N Mustang Road, Mustang, OK 73064-7214 | 2018-03-19 |
| 1720325533 | Saints Medical Group, LLC | Dermatology | 9720 Broadway Extension, Oklahoma City, OK 73114 | 2013-01-14 |
| 1396034047 | Saints Medical Group, LLC | Neurological Surgery | 800 Nw 9th St Ste 201, Oklahoma City, OK 73106-7253 | 2011-04-04 |
| 1235382540 | Saints Medical Group, LLC | Family Medicine | 2002 N Council Ave, Blanchard, OK 73010 | 2008-10-30 |
| 1659528222 | Saints Medical Group, LLC | Family Medicine | 10700 S Penn Ave, Oklahoma City, OK 73170-4206 | 2008-08-26 |
| 1699948646 | Saints Medical Group, LLC | Nurse Practitioner | 7101 Nw 23rd St, Bethany, OK 73008-5159 | 2008-04-10 |
| 1366644577 | Saints Medical Group, LLC | Physician Assistant | 2401 Sw 23rd St, Suite 101, Oklahoma City, OK 73108 | 2007-06-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | SAINTS MEDICAL GROUP, LLC | 1000 N Lee, Oklahoma City, OK 73101 |
| Street Address |
13401 N WESTERN AVE SUITE 210 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73114-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881666220 | Robert B Rogers | Physician Assistant | 13401 N Western Ave, Ste. 301, Oklahoma City, OK 73114-1408 | 2006-02-01 |
| 1356716435 | St Anthony Physicians Thyroid Center | Internal Medicine | 13401 N Western Ave, Suite 407, Oklahoma City, OK 73114-1408 | 2015-12-01 |
| 1568840882 | Comprehensive Foot & Ankle Institute Pllc | Podiatrist | 13401 N Western Ave, Suite 405, Oklahoma City, OK 73114-1407 | 2015-05-07 |
| 1164810677 | Saints Medical Group, LLC | Internal Medicine | 13401 N Western Ave, Suite 200, Oklahoma City, OK 73114-1407 | 2015-01-06 |
| 1487949384 | Travis Jack Stark | Podiatrist | 13401 N Western Ave, Suite 405, Oklahoma City, OK 73114-1412 | 2011-06-20 |
| 1902105166 | Terry Alan Rimmer | Family Medicine | 13401 N Western Ave, Suite 200, Oklahoma City, OK 73114-1408 | 2011-03-26 |
| 1073834057 | Amy Gumuliauskas | Pediatrics | 13401 N Western Ave, Suite 200, Oklahoma City, OK 73114-1408 | 2010-06-14 |
| 1760707863 | Erin Nicole Goranson | Pediatrics | 13401 N Western Ave, Suite 200, Oklahoma City, OK 73114-1407 | 2010-03-31 |
| 1679708259 | Omar Silvestre | Internal Medicine | 13401 N Western Ave, Suite 210, Oklahoma City, OK 73114-1408 | 2009-05-26 |
| 1932381365 | Amanda Lagreca | Internal Medicine | 13401 N Western Ave, Suite 407, Oklahoma City, OK 73114-1408 | 2007-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124669783 | Heather Williams | Occupational Therapist | 1404 Nw122nd St, Oklahoma City, OK 73114 | 2019-10-04 |
| 1477194033 | Shonta Jones | Technician | 10723 Norh Western, Apartment G, Oklahoma City, OK 73114 | 2019-10-04 |
| 1023537644 | Tracye Carter | Registered Nurse | 812 Nw 121 Terr, Oklahom City, OK 73114 | 2017-09-14 |
| 1003362849 | Randy Joshua Williamson | Behavioral Analyst | 101 Bainbridge Rd, Oklahoma City, OK 73114 | 2016-08-31 |
| 1427413368 | John Adrian Howard | Physical Therapist | 13100 N Western Ave Ste 302, Oklahoma City, OK 73114 | 2015-12-18 |
| 1497150197 | Payam Ishani Afousi | Dentist | 9405 N. Penn Place, Casady Square, Oklahoma City, OK 73114 | 2014-10-24 |
| 1922407386 | Kelvin Hughes | Counselor | 1400 Nw 105th Ter, Oklahoma City, OK 73114 | 2014-08-21 |
| 1285056887 | Malarie Jackson | Nurse Practitioner | 609 W. Memorial Rd., Oklahoma City, OK 73114 | 2014-01-16 |
| 1508108705 | Adam Liberty | Community/Behavioral Health | 428 N.w 81st, Oklahoma City, OK 73114 | 2013-03-26 |
| 1780926345 | Michelle D Hardimon | Behavioral Analyst | 700 Ne 122nd Apt 4509, Oklahoma City, OK 73114 | 2013-03-21 |
| Find all providers in zip 73114 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1720480387 | Phillip J Wright | Internal Medicine | 1409 Harden Ct, Oklahoma City, OK 73118-1055 | 2014-09-25 |
| 1649430810 | Latisha Dawn Heinlen | Internal Medicine | 6516 N Olie Ave Ste G, Oklahoma City, OK 73116-7399 | 2008-06-11 |
| 1316064876 | Richard Jacob Hess | Internal Medicine | 3109 Lamp Post Ln, Oklahoma City, OK 73120-5618 | 2007-03-22 |
| 1699822379 | Mohammad Faisal Khan | Internal Medicine | 1015 N Shartel Ave, Oklahoma City, OK 73102 | 2007-01-04 |
| 1235237728 | Mary Beth Humphrey | Internal Medicine | 941 Stanton L Young Blvd, Bseb 306e, Oklahoma City, OK 73104-5019 | 2006-09-20 |
| 1962471813 | Joan T Merrill | Internal Medicine | 825 Ne 13th St, Omrf E110, Oklahoma City, OK 73104-5005 | 2006-03-14 |
| 1811968399 | Christine Ellen Codding | Internal Medicine | 1211 North Shartel Avenue, Suite 700, Oklahoma City, OK 73103-2433 | 2006-01-31 |
| 1174979942 | John Goetzinger | Internal Medicine | 800 Stanton L Young Blvd # 6400, Oklahoma City, OK 73104-5018 | 2016-05-10 |
| 1588050652 | Nicholas Matthew Lytle | Internal Medicine | 800 Stanton L Young Blvd, Oklahoma City, OK 73104-5018 | 2015-04-15 |
| 1043653264 | Tommie Simon | Internal Medicine | 920 Stanton L Young Blvd, Wp 1350, Oklahoma City, OK 73104-5036 | 2013-04-08 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73114 |
Please comment or provide details below to improve the information on SAINTS MEDICAL GROUP, LLC.
| 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.