SAINTS MEDICAL GROUP, LLC (NPI# 1659844587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659844587 |
Entity Type | Organization |
Organization Name | SAINTS MEDICAL GROUP, LLC |
Practice Address |
6205 N Santa Fe Ave Ste 200 Oklahoma City OK 73118-7536 |
Practice Telephone | 4052318740 |
Practice Fax Number | 4052318714 |
Mailing Telephone | 4052318740 |
Mailing Fax Number | 4052318714 |
Enumeration Date | 2019-01-03 |
Last Update Date | 2019-01-03 |
Authorized Official Name | CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST) |
Authorized Official Telephone | 4052727452 |
Is Organization Subpart | Y |
Parent Organization Name | SSM HEALTHCARE OF OK, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
SSM Health Endocrine | 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 |
6205 N SANTA FE AVE STE 200 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73118-7536 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558332981 | Andrea D Moser | Physician Assistant | 6205 N Santa Fe Ave Ste 200, Oklahoma City, OK 73118 | 2006-02-01 |
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 | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
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 |
---|---|---|---|---|
1457606113 | Perihan Dimachkie | Internal Medicine | 4221 S Western Ave Ste 5045, Oklahoma City, OK 73109-3450 | 2012-07-18 |
1487965976 | Myrto Eliades | Internal Medicine | 3433 Nw 56th St Ste 710, Oklahoma City, OK 73112-4430 | 2010-06-29 |
1598813016 | Venkataraman Kalyanaraman | Internal Medicine | 920 Stanton L Young Blvd # 1345, Oklahoma City, OK 73104-5020 | 2007-01-08 |
1124138680 | Bassam Arodak | Internal Medicine | 5701 N Portland Ave Ste 220, Oklahoma City, OK 73112-1670 | 2006-08-30 |
1346272523 | Modhi Gude | Internal Medicine | 6001 Nw 120th Court, Ste 6, Oklahoma City, OK 73162 | 2006-07-07 |
1366952004 | Saints Medical Group, LLC | Internal Medicine | 3400 S Douglas Blvd Ste 305, Oklahoma City, OK 73150-1018 | 2017-10-09 |
1669903985 | Nabeela Shakir | Internal Medicine | 1000 N Lincoln Blvd Ste 2900, Oklahoma City, OK 73104-3252 | 2017-03-27 |
1740730720 | Ssm Health Care of Oklahoma, Inc | Internal Medicine | 1111 N Lee Ave, Suite 300, Oklahoma City, OK 73103-2600 | 2016-10-13 |
1356716435 | St Anthony Physicians Thyroid Center | Internal Medicine | 13401 N Western Ave, Suite 407, Oklahoma City, OK 73114-1408 | 2015-12-01 |
1528444379 | Avinash Ravipati | Internal Medicine | 1000 N Lincoln Blvd Ste 2900, Oklahoma City, OK 73104 | 2015-08-04 |
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.