ST ANTHONY PHYSICIANS GASTROENTEROLOGY MOB (NPI# 1447700422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447700422 |
| Entity Type | Organization |
| Organization Name | ST ANTHONY PHYSICIANS GASTROENTEROLOGY MOB |
| Other Organization Name | SSM HEALTH CARE OF OKLAHOMA, INC |
| Practice Address |
535 Nw 9th St Suite 325 Oklahoma City OK 73102-1070 |
| Practice Telephone | 4056016630 |
| Practice Fax Number | 4056016617 |
| Mailing Telephone | 4056016630 |
| Mailing Fax Number | 4056016617 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |
| 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 | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SSM Health Care of Oklahoma, Inc | Doing Business As Name - Organization |
| Street Address |
535 NW 9TH ST SUITE 325 |
| 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 |
| 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 |
| 1336546621 | Ssm Health Care of Oklahoma, Inc | Surgery | 535 Nw 9th St, Suite 100, Oklahoma City, OK 73102-1070 | 2014-12-02 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1568706554 | Ahmad S Jazzar | Internal Medicine | 5617 Normandy Ter, Oklahoma City, OK 73142-1823 | 2012-11-15 |
| 1730444886 | Molly Beth Lindquist Disbrow | Internal Medicine | 920 Stanton L Young Blvd # Wp1345, Oklahoma City, OK 73104-5036 | 2012-07-05 |
| 1306111448 | Southwest Gastroenterology Associates Pllc | Internal Medicine | 525 Sw 80th Street, Suite 200, Oklahoma City, OK 73139 | 2012-03-21 |
| 1528199866 | Verapan Vongthavaravat | Internal Medicine | 4811 Gaillardia Pkwy Ste 200, Oklahoma City, OK 73142-1874 | 2007-03-08 |
| 1992852875 | Shih-kuang Hong | Internal Medicine | 3110 Sw 89th St Ste 104, Oklahoma City, OK 73159-7920 | 2007-01-04 |
| 1083709430 | Imad A Zantout | Internal Medicine | 4200 W.memorial Road, Suite 305, Oklahoma City, OK 73120 | 2006-10-03 |
| 1659308435 | Rajesh Kanagala | Internal Medicine | 825 Ne 10th St # Street4e, Oklahoma City, OK 73104-5417 | 2006-06-27 |
| 1649245929 | Jeff D Scott | Internal Medicine | 5015 N Pennsylvania Ave, Suite 303, Oklahoma City, OK 73112-8891 | 2006-02-21 |
| 1285606491 | Sophia Janjua Khan | Internal Medicine | 4205 Mcauley Blvd Ste 375, Oklahoma City, OK 73120 | 2006-02-02 |
| 1639153554 | Ross Stanford Keener | Internal Medicine | 4201 S Western Ave, Oklahoma City, OK 73109-3410 | 2005-12-05 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73102 |
Please comment or provide details below to improve the information on ST ANTHONY PHYSICIANS GASTROENTEROLOGY MOB.
| 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.