NPIMap

Organization Active NPI

Saints Medical Group, LLC

Doing business as St Anthony Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Oklahoma City, OK
National Provider Identifier
1053446120
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
27645 Issued in OK
Legal business name
SAINTS MEDICAL GROUP, LLC
Doing business as
St Anthony Endocrinology
Practice address
1111 N Lee Ave
Suite 334
Oklahoma City, OK 73103-2600
Phone
(405) 272-4953
Fax
(405) 272-4956
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Authorized official

Name
Katy Bain
Title
Client Account Representative
Phone
(405) 231-3817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 27645 OK Primary

Addresses

Primary practice location

1111 N Lee Ave
Suite 334
Oklahoma City, OK 73103-2600

Mailing address

PO Box 268972
Oklahoma City, OK 73126-8972
Phone (405) 272-4953

Other identifiers 1

IdentifierTypeStateIssuer
200094240OMedicaidOK

Other names 1

  • St Anthony Endocrinology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Saints Medical Group LLC114 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1053446120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268972",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268972",
            "telephone_number": "405-272-4953",
            "fax_number": "405-272-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N LEE AVE",
            "address_2": "SUITE 334",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032600",
            "telephone_number": "405-272-4953",
            "fax_number": "405-272-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINTS MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "CLIENT ACCOUNT REPRESENTATIVE",
        "authorized_official_telephone_number": "405-231-3817"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OK",
            "license": "27645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200094240O",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Anthony Endocrinology",
            "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 May 13, 2010; 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.