SSM HEALTHCARE OF OKLAHOMA (NPI# 1659666899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659666899 |
| Entity Type | Organization |
| Organization Name | SSM HEALTHCARE OF OKLAHOMA |
| Other Organization Name | ST ANTHONY MEDICINE ASSOCIATES |
| Practice Address |
6205 N Santa Fe Ave Suite 201 Oklahoma City OK 73118-7537 |
| Mailing Address |
Po Box 269064 Oklahoma City OK 73126-9064 |
| Practice Telephone | 4052725500 |
| Practice Fax Number | 4052725550 |
| Mailing Telephone | 4052725500 |
| Mailing Fax Number | 4052725550 |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-07-28 |
| Authorized Official Name | MS. CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 4052727452 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM HEALTHCARE OF OKLAHOMA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Anthony Medicine Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962702290 | Ssm Healthcare of Oklahoma | Internal Medicine | 1011 N Dewey Ave, Oklahoma City, OK 73102-1024 | 2010-11-03 |
| Street Address |
6205 N SANTA FE AVE SUITE 201 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73118-7537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801856471 | St Anthony North Ambulatory Surgical Center L L C | Clinic/Center | 6205 N Santa Fe Ave, Suite 100, Oklahoma City, OK 73118-7535 | 2006-03-27 |
| 1639612518 | St Anthony Physicians Allergy | Allergy & Immunology | 6205 N Santa Fe Ave, Suite 105, Oklahoma City, OK 73118-7537 | 2016-11-28 |
| 1932553203 | Saint Medical Group, LLC | Family Medicine | 6205 N Santa Fe Ave, Suite 201, Oklahoma City, OK 73118-7537 | 2016-04-22 |
| 1316327661 | Michelle L Ellenburg | Nurse Practitioner | 6205 N Santa Fe Ave, Suite 201, Oklahoma City, OK 73118-7537 | 2015-06-02 |
| 1649459140 | Saints Medical Group, LLC | Family Medicine | 6205 N Santa Fe Ave, Suite 201, Oklahoma City, OK 73118-7537 | 2007-10-31 |
| 1679644348 | Brad A Marion | Internal Medicine | 6205 N Santa Fe Ave, Suite 201, Oklahoma City, OK 73118-7537 | 2006-11-13 |
| 1558475756 | Stephen P Wolf | Internal Medicine | 6205 N Santa Fe Ave, Suite 201, Oklahoma City, OK 73118-7537 | 2006-08-18 |
| 1083728307 | Danny Ray Norris | Chiropractor | 6205 N Santa Fe Ave, #110, Oklahoma City, OK 73118-7537 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255812772 | Karrie Danea Moreno | Behavior Technician | 1507 Ne 31st, Oklahoma, OK 73118 | 2018-08-23 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1225556228 | Anika Carr | Case Manager/Care Coordinator | 1212 Nw 32nd Street, Oklahoma City, OK 73118 | 2017-08-30 |
| 1740635168 | Nikhil Malhotra | Internal Medicine | 3635 Vista Avenue At Grand Boulevard, 14th Floor, Desloge Towers, St. Louis, MO 73118 | 2016-05-04 |
| 1144694183 | Christopher Woon | Counselor | 4001 N Classen, Suite 105, Oklahoma City, OK 73118 | 2015-11-13 |
| 1699181925 | Stac Embry | Counselor | 3321 N. Mckinley Ave, Oklahoma City, OK 73118 | 2014-07-08 |
| 1194161216 | Jennifer Kaye Powers | Counselor | 3124 N. Classen Blvd., Ste. A, Oklahoma City, OK 73118 | 2013-05-15 |
| 1932445491 | Jessica Camp | Behavioral Analyst | 3220 N Harvey Pkwy, Oklahoma City, OK 73118 | 2013-01-02 |
| 1942578661 | Michael D Danielson | Behavioral Analyst | 4232 N Sante Fe Ave, Oklahoma City, OK 73118 | 2011-12-08 |
| 1912280587 | Tara Roberts | Counselor | 1743 Nw 37th, Oklahoma City, OK 73118 | 2011-09-21 |
| Find all providers in zip 73118 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039632 | Axiom Medical Solutions, LLC | Family Medicine | 14132 Se 134th St, Oklahoma City, OK 73165-7669 | 2020-09-28 |
| 1104437219 | L and M Investments LLC | Family Medicine | 6001 Nw 139th St, Oklahoma City, OK 73142-1919 | 2020-08-12 |
| 1235748617 | Brook Noel Leland | Family Medicine | 3329 Nw 22nd St, Oklahoma City, OK 73107-3021 | 2020-07-30 |
| 1043835176 | Thomas Patrick Owens IIi | Family Medicine | 900 Ne 10th Street, Oklahoma City, OK 73104-5420 | 2020-06-15 |
| 1730703562 | Michael Williamson | Family Medicine | 3500 Nw 56th St Ste 10, Oklahoma City, OK 73112-4529 | 2020-06-08 |
| 1295363620 | Saint Medical Group, LLC | Family Medicine | 3400 S Douglas Blvd Ste 307, Oklahoma City, OK 73150-1001 | 2020-03-31 |
| 1881220580 | Sarah Laing | Family Medicine | 1111 N Lee Ave Ste 305, Oklahoma City, OK 73103-2620 | 2020-03-14 |
| 1881225290 | Neans Lynn Denson | Family Medicine | 2815 Sw 119th St, Oklahoma City, OK 73170-2605 | 2020-02-04 |
| 1114563699 | Aim Health Clinics, LLC | Family Medicine | 2301 W I 44 Service Rd Ste 310, Oklahoma City, OK 73112-8729 | 2019-11-20 |
| 1841843265 | Stephanie N White | Family Medicine | 3400 Nw Expressway Bldg C-815, Oklahoma City, OK 73112-4493 | 2019-07-24 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73118 |
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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.