NPIMap

Organization Active NPI

Saints Medical Group, LLC

Doing business as Saints Dermatology

  • Dermatology Physician
  • Oklahoma City, OK
National Provider Identifier
1285884676
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
22879 Issued in OK
Legal business name
SAINTS MEDICAL GROUP, LLC
Doing business as
Saints Dermatology
Practice address
608 NW 9TH St
Suite 3206
Oklahoma City, OK 73102-1068
Phone
(405) 272-7044
Fax
(405) 272-7049
NPI assigned
Sep 23, 2008
Last updated
Aug 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 22879 OK Primary

Addresses

Primary practice location

608 NW 9TH St
Suite 3206
Oklahoma City, OK 73102-1068

Mailing address

PO Box 248829
Oklahoma City, OK 73124-8829
Phone (405) 272-7044

Other names 1

  • Saints Dermatology 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 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": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1285884676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248829",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731248829",
            "telephone_number": "405-272-7044",
            "fax_number": "405-272-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST",
            "address_2": "SUITE 3206",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021068",
            "telephone_number": "405-272-7044",
            "fax_number": "405-272-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINTS MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "KATY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLIENT ACCOUNT REPRESENTATIVE",
        "authorized_official_telephone_number": "405-231-3817"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "22879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saints Dermatology",
            "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 10, 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.