NPIMap

Organization Active NPI

SSM Health Care of Oklahoma, Inc

Doing business as St Anthony North Santa Fe

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1316345531
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC
Doing business as
St Anthony North Santa Fe
Practice address
6201 N Santa Fe Ave
Suite 1010
Oklahoma City, OK 73118-7538
Phone
(405) 772-8687
Fax
(405) 772-8688
NPI assigned
Dec 22, 2014
Last updated
Dec 22, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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 Physician 207Q00000X Primary

Addresses

Primary practice location

6201 N Santa Fe Ave
Suite 1010
Oklahoma City, OK 73118-7538

Mailing address

6201 N Santa Fe Ave
Suite 1010
Oklahoma City, OK 73118-7538
Phone (405) 772-8687

Other names 1

  • St Anthony North Santa Fe Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Anthony Hospital Esr56 organizations share this tax ID, including this one
Part of
St Anthony Hospital Esr

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

6201 N Santa Fe Ave
Ste 1010
Oklahoma City, OK 73118
Phone (405) 772-8687

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1316345531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 N SANTA FE AVE",
            "address_2": "SUITE 1010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187538",
            "telephone_number": "405-772-8687",
            "fax_number": "405-772-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 N SANTA FE AVE",
            "address_2": "SUITE 1010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187538",
            "telephone_number": "405-772-8687",
            "fax_number": "405-772-8688"
        }
    ],
    "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": "2014-12-22",
        "last_updated": "2014-12-22",
        "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": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Anthony North Santa Fe",
            "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 Dec 22, 2014; 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.