SSM Health Care of Oklahoma, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SSM HEALTH CARE OF OKLAHOMA, INC

Doing business as

St. Michael Hospital Psychiatric Physicians Group

Practice address

2129 SW 59TH St
Oklahoma City, OK 73119-7024

Phone

(405) 713-5790

Fax

(405) 713-5786

NPI assigned

Sep 21, 2006

Organization subpart

Yes

Parent organization

SSM HEALTH CARE OF OKLAHOMA, INCAs reported in NPPES

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

Authorized official

Name

Mr. Greg Simia

Title

Cfo

Phone

(405) 272-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. Michael Hospital Psychiatric Physicians Group Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Saints Medical Group, LLC

  dba St. Anthony Hospital Psychiatric Physicians Group

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1336235159

  O20040216000184

  Same enrollment
• SSM Health Care of Oklahoma Inc

  dba SSM Health St Anthony Hospital MWC Physicians Group

  • Anesthesiology Physician
  • Midwest City, OK
  • NPI 1295493955

  O20040216000184

  Same enrollment
• SSM Health Care of Oklahoma, Inc

  dba SSM Health St Anthony Hospital - Oklahoma City

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
  • NPI 1033283932

  O20040216000184

  Same enrollment
• SSM Health Care of Oklahoma, Inc.

  dba SSM Health St Anthony Hospital - Oklahoma City

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1487677456

  O20040216000184

  Same enrollment

Part of

24 Saints Physical the

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1184723678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269009",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 SW 59TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731197024",
            "telephone_number": "405-713-5790",
            "fax_number": "405-713-5786"
        }
    ],
    "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": "2006-09-21",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "SIMIA",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "405-272-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200009970 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Michael Hospital Psychiatric Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SSM Health Care of Oklahoma Inc (St Anthony Physicians Behavioral Health Clinic)
• SSM Health Care of Oklahoma Inc (SSM Health Pharmacy)
• SSM Health Care of Oklahoma Inc (St Anthony Physicians Health Plex East Specialty Clinic)
• SSM Health Care of Oklahoma Inc (Saints Advanced Orthopeadics)
• SSM Health Care of Oklahoma, Inc (SSM Health St Anthony Hospital - Oklahoma City)
• SSM Health Care of Oklahoma, Inc (St Anthony North Santa Fe)
• SSM Health Care of Oklahoma, Inc (St Anthony Physicians Breast Care)
• SSM Health Care of Oklahoma, Inc (St Anthony Physicians Psychology at Family Medicine Center)
• SSM Health Care of Oklahoma, Inc (St Anthony Physicians Endocrinology Associates)
• SSM Health Care of Oklahoma, Inc (St. Anthony Pharmacy East)

• Psychiatry Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.