SAINTS MEDICAL GROUP, LLC (NPI# 1487197497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487197497 |
| Entity Type | Organization |
| Organization Name | SAINTS MEDICAL GROUP, LLC |
| Other Organization Name | ST ANTHONY PHYSICIANS NEUROLOGY ASSOCIATES |
| Practice Address |
535 Nw 9th St Suite 235 Oklahoma City OK 73102-1070 |
| Practice Telephone | 4052726877 |
| Practice Fax Number | 4052726878 |
| Mailing Telephone | 4052726877 |
| Mailing Fax Number | 4052726878 |
| Enumeration Date | 2016-11-22 |
| 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 | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Anthony Physicians Neurology Associates | 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 |
| Street Address |
535 NW 9TH ST SUITE 235 |
| 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 |
| 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 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110478 | Noor Mahmoud | Psychiatry & Neurology | 825 Ne 10th St Ste 5200, Oklahoma City, OK 73104-5417 | 2020-06-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1295229268 | Veronica Astrid Moreno Gomez | Psychiatry & Neurology | 920 Stanton L Young Blvd Ste Wp-2040, Oklahoma City, OK 73104-5036 | 2018-06-21 |
| 1033632716 | Sergio Ramirez | Psychiatry & Neurology | 920 Staton L. Young Blvd., Suite Wp-2040, Oklahoma City, OK 73104 | 2017-07-25 |
| 1407376890 | Temitope Ayodeji Lawal | Psychiatry & Neurology | 920 Stanton L Young Blvd # W2040, Oklahoma City, OK 73104-5036 | 2017-06-26 |
| 1932637030 | Marina Aleksandrovna Kravtsova | Psychiatry & Neurology | 920 Stanton L Young Blvd Ste Wp2040, Oklahoma City, OK 73104-5036 | 2017-06-01 |
| 1508256165 | George Alexander Curry II | Psychiatry & Neurology | 9615 Prosper Dr, Oklahoma City, OK 73151-8801 | 2015-02-03 |
| 1740524719 | Fahd Sultan | Psychiatry & Neurology | 920 Stanton L Young Blvd Ste 2040, Oklahoma City, OK 73104-5036 | 2012-11-15 |
| 1538410006 | Bhrugav G Raval | Psychiatry & Neurology | 825 Ne 10th St Ste 5b, Oklahoma City, OK 73104 | 2012-09-25 |
| 1295013738 | Karan Poddar | Psychiatry & Neurology | 920 Sl Young Boulevard, Oklahoma City, OK 73104 | 2011-08-02 |
| 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.