Organization Active NPI

Saints Medical Group, LLC

  • Pediatrics Physician
  • Oklahoma City, OK
National Provider Identifier
1275737397
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SAINTS MEDICAL GROUP, LLC
Practice address
608 NW 9TH St
3000
Oklahoma City, OK 73102-1068
Phone
(405) 272-7337
Fax
(405) 231-3059
NPI assigned
Jun 13, 2007
Organization subpart
Yes
Parent organization
SAINTS MEDICAL GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Synovia Faith Bain
Title
Client Account Administrator
Phone
(405) 231-3824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

608 NW 9TH St
3000
Oklahoma City, OK 73102-1068

Mailing address

PO Box 268851
Oklahoma City, OK 73126-8851
Phone (405) 272-7337

Other identifiers 1

IdentifierTypeStateIssuer
200094240DMedicaidOK

Other names 1

  • Saints Pediatric Assoicates Other name

National Provider Directory

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

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

608 NW 9th St
Ste 3000
Oklahoma City, OK 73102
Phone (405) 272-7337

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1275737397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268851",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268851",
            "telephone_number": "405-272-7337",
            "fax_number": "405-231-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST",
            "address_2": "3000",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021068",
            "telephone_number": "405-272-7337",
            "fax_number": "405-231-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINTS MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINTS MEDICAL GROUP, LLC",
        "enumeration_date": "2007-06-13",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "SYNOVIA",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "CLIENT ACCOUNT ADMINISTRATOR",
        "authorized_official_telephone_number": "405-231-3824"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200094240D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saints Pediatric Assoicates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 6, 2009; 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.