SAINT MEDICAL GROUP, LLC (NPI# 1457972366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457972366 |
| Entity Type | Organization |
| Organization Name | SAINT MEDICAL GROUP, LLC |
| Practice Address |
3400 S Douglas Blvd Ste 307a Oklahoma City OK 73150-1001 |
| Practice Telephone | 4052182582 |
| Practice Fax Number | 4052182587 |
| Mailing Telephone | 4052182582 |
| Mailing Fax Number | 4052182587 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |
| Authorized Official Name | CRYSTAL L PENA (PROVIDER ENROLLMENT 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 | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SSM Health Medical Group Healthplex East Pediatrics | 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 |
| 1295363620 | Saint Medical Group, LLC | Family Medicine | 3400 S Douglas Blvd Ste 307, Oklahoma City, OK 73150-1001 | 2020-03-31 |
| 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 307A |
| 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 |
| 1295363620 | Saint Medical Group, LLC | Family Medicine | 3400 S Douglas Blvd Ste 307, Oklahoma City, OK 73150-1001 | 2020-03-31 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851868863 | Okc Kids Urology Pllc | Pediatrics | 3705 Nw 63rd St Ste 211, Oklahoma City, OK 73116-1937 | 2018-10-28 |
| 1700380268 | Katherine Ann Brashears | Pediatrics | 6628 Fawn Canyon Dr, Oklahoma City, OK 73162-6759 | 2018-03-20 |
| 1649650920 | Amber Chantell Landry | Pediatrics | 937 Sw 89th St Ste A, Oklahoma City, OK 73139-9231 | 2015-06-02 |
| 1346628856 | Ankur Rughani | Pediatrics | 1200 Childrens Ave # 65532, Oucp 14000 A2, Oklahoma City, OK 73104-4637 | 2015-05-15 |
| 1629456124 | Nicholas Scott Peterson | Pediatrics | 1200 Childrens Ave Ste 12200, Oklahoma City, OK 73104 | 2015-05-15 |
| 1467848044 | Matthew Le | Pediatrics | 1200 Childrens Ave Ste 12300, Oklahoma City, OK 73104-4637 | 2015-04-10 |
| 1295140721 | Monica Wardwell Fogarty | Pediatrics | 1200 Childrens Ave Ste 14000, Oklahoma City, OK 73104-4637 | 2014-06-23 |
| 1912311200 | Melissa Jane Muhlinghause | Pediatrics | 4140 W Memorial Rd Ste 413, Oklahoma City, OK 73120 | 2014-06-16 |
| 1023364890 | Aswathy Kumar Vaikom House | Pediatrics | Ou Childrens Hospital, 1200 Everett Dr., Oklahoma City, OK 73104 | 2012-07-31 |
| 1417213943 | Theresa Mary Graif | Pediatrics | 1200 Everett Dr Rm 8305, Oklahoma City, OK 73104-5047 | 2012-04-10 |
| 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.