NPIMap

Organization Active NPI

SSM Health Care of Oklahoma Inc

Doing business as St Anthony North Urgent Care

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1013314301
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SSM HEALTH CARE OF OKLAHOMA INC
Doing business as
St Anthony North Urgent Care
Practice address
6201 N Santa Fe Ave
Suite 1010
Oklahoma City, OK 73118-7538
Phone
(405) 772-8687
Fax
(405) 772-8688
NPI assigned
Dec 2, 2014
Organization subpart
Yes
Parent organization
SSM HEALTH CARE OF OKLAHOMA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Crystal L Pena
Title
Insurance Credentialing Specialist
Phone
(405) 272-7452

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

6201 N Santa Fe Ave
Suite 1010
Oklahoma City, OK 73118-7538

Mailing address

6201 N Santa Fe Ave
Suite 1010
Oklahoma City, OK 73118-7538
Phone (405) 772-8687

Other names 1

  • St Anthony North Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marilyn Doughtery MD56 organizations share this tax ID, including this one
Part of
Marilyn Doughtery MD

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1013314301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 N SANTA FE AVE",
            "address_2": "SUITE 1010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187538",
            "telephone_number": "405-772-8687",
            "fax_number": "405-772-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 N SANTA FE AVE",
            "address_2": "SUITE 1010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187538",
            "telephone_number": "405-772-8687",
            "fax_number": "405-772-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM HEALTH CARE OF OKLAHOMA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSM HEALTH CARE OF OKLAHOMA INC",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "INSURANCE CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "405-272-7452"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Anthony North Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.