SAINT MEDICAL GROUP, LLC (NPI# 1790267169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790267169 |
Entity Type | Organization |
Organization Name | SAINT MEDICAL GROUP, LLC |
Other Organization Name | SSM HEALTH BONE & JOINT INJURY CARE |
Practice Address |
13401 N Western Ave Ste 100 Oklahoma City OK 73114-1409 |
Practice Telephone | 4052523441 |
Practice Fax Number | 4052523434 |
Mailing Telephone | 4052523441 |
Mailing Fax Number | 4052523434 |
Enumeration Date | 2018-09-03 |
Last Update Date | 2018-09-03 |
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 |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
N | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
SSM Health Bone & Joint Injury Care | 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 |
1457972366 | Saint Medical Group, LLC | Pediatrics | 3400 S Douglas Blvd Ste 307a, Oklahoma City, OK 73150-1001 | 2020-05-01 |
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 |
Street Address |
13401 N WESTERN AVE STE 100 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73114-1409 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124669783 | Heather Williams | Occupational Therapist | 1404 Nw122nd St, Oklahoma City, OK 73114 | 2019-10-04 |
1477194033 | Shonta Jones | Technician | 10723 Norh Western, Apartment G, Oklahoma City, OK 73114 | 2019-10-04 |
1023537644 | Tracye Carter | Registered Nurse | 812 Nw 121 Terr, Oklahom City, OK 73114 | 2017-09-14 |
1003362849 | Randy Joshua Williamson | Behavioral Analyst | 101 Bainbridge Rd, Oklahoma City, OK 73114 | 2016-08-31 |
1427413368 | John Adrian Howard | Physical Therapist | 13100 N Western Ave Ste 302, Oklahoma City, OK 73114 | 2015-12-18 |
1497150197 | Payam Ishani Afousi | Dentist | 9405 N. Penn Place, Casady Square, Oklahoma City, OK 73114 | 2014-10-24 |
1922407386 | Kelvin Hughes | Counselor | 1400 Nw 105th Ter, Oklahoma City, OK 73114 | 2014-08-21 |
1285056887 | Malarie Jackson | Nurse Practitioner | 609 W. Memorial Rd., Oklahoma City, OK 73114 | 2014-01-16 |
1508108705 | Adam Liberty | Community/Behavioral Health | 428 N.w 81st, Oklahoma City, OK 73114 | 2013-03-26 |
1780926345 | Michelle D Hardimon | Behavioral Analyst | 700 Ne 122nd Apt 4509, Oklahoma City, OK 73114 | 2013-03-21 |
Find all providers in zip 73114 |
Taxonomy Code | 207PS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Sports Medicine |
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. |
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 Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720611957 | Catherine Mitts | Emergency Medicine | 7777 S Lewis Ave, Tulsa, OK 74171-0003 | 2020-02-17 |
City | OKLAHOMA CITY |
Zip Code | 73114 |
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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.