SAINT MEDICAL GROUP, LLC (NPI# 1861019663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861019663 |
Entity Type | Organization |
Organization Name | SAINT MEDICAL GROUP, LLC |
Practice Address |
535 Nw 9th St Ste 210 Oklahoma City OK 73102-1072 |
Practice Telephone | 4057724480 |
Practice Fax Number | 4057724484 |
Mailing Telephone | 4057724480 |
Mailing Fax Number | 4057724484 |
Enumeration Date | 2020-06-29 |
Last Update Date | 2020-06-29 |
Authorized Official Name | CRYSTAL L PENA (PROVIDER ENROLLMENT COORDINATOR) |
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 | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
Y | 2088F0040X |
Urology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
SSM Health Medical Group Urogynocology | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1790267169 | Saint Medical Group, LLC | Family Medicine | 13401 N Western Ave Ste 100, Oklahoma City, OK 73114-1409 | 2018-09-03 |
Street Address |
535 NW 9TH ST STE 210 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73102-1072 |
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 | 2088F0040X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
Specialization | Female Pelvic Medicine and Reconstructive Surgery |
A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
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.