NPIMap

Organization Active NPI

Saints Medical Group, LLC

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1124296538
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAINTS MEDICAL GROUP, LLC
Practice address
6201 N Santa Fe Ave
2010
Oklahoma City, OK 73118-7538
Phone
(405) 272-5555
Fax
(405) 272-5517
NPI assigned
Feb 19, 2008
Organization subpart
Yes
Parent organization
SSM HEALTHCARE OF OKLAHOMA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6201 N Santa Fe Ave
2010
Oklahoma City, OK 73118-7538

Mailing address

PO Box 268986
Oklahoma City, OK 73126-8986
Phone (405) 272-5555

Other identifiers 1

IdentifierTypeStateIssuer
100522016OtherOKMEDICARE ID

Other names 1

  • Saints Physicians North Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Saints Neurology of Enid114 organizations share this tax ID, including this one
Part of
Marilyn Doughtery MD

Organizations with this tax ID in the same state 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1124296538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268986",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268986",
            "telephone_number": "405-272-5555",
            "fax_number": "405-272-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 N SANTA FE AVE",
            "address_2": "2010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187538",
            "telephone_number": "405-272-5555",
            "fax_number": "405-272-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINTS MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSM HEALTHCARE OF OKLAHOMA INC",
        "enumeration_date": "2008-02-19",
        "last_updated": "2019-03-25",
        "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": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "100522016",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saints Physicians North",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saints Physicians North",
            "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 Mar 25, 2019; 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.