NPIMap

Organization Active NPI

Saints Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Oklahoma City, OK
National Provider Identifier
1144836206
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SAINTS MEDICAL GROUP, LLC
Practice address
5612 S E 67TH Street
Oklahoma City, OK 73135
Phone
(405) 772-4750
Fax
(405) 772-4755
NPI assigned
Sep 23, 2020
Organization subpart
Yes
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Crystal L Pena
Title
Provider Enrollment Co-Ordinator
Phone
(405) 272-7452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

5612 S E 67TH Street
Oklahoma City, OK 73135

Mailing address

5612 SE 67TH St
Oklahoma City, OK 73135
Phone (405) 772-4750

Other practice location 1

5604 SE 67th St
Oklahoma City, OK 73135-1719
Phone (405) 772-4750

Other names 1

  • SSM Health Medical Group Womens Health East 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

Locations

5604 SE 67th St
Oklahoma City, OK 73135
Phone (405) 772-4750

5612 SE 67th St
Oklahoma City, OK 73135
Phone (405) 649-5579

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1144836206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 SE 67TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73135",
            "telephone_number": "405-772-4750",
            "fax_number": "405-772-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 S E 67TH STREET",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73135",
            "telephone_number": "405-772-4750",
            "fax_number": "405-772-4755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5604 SE 67th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731351719",
            "country_code": "US",
            "telephone_number": "405-772-4750",
            "fax_number": "405-772-4755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAINTS MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSM HEALTH CARE OF OKLAHOMA, INC.",
        "enumeration_date": "2020-09-23",
        "last_updated": "2021-08-11",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT CO-ORDINATOR",
        "authorized_official_telephone_number": "405-272-7452"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health Medical Group Womens Health East",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SSM Health Medical Group Womens Health East",
            "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 Aug 11, 2021; 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.