Organization Active NPI

Saints Medical Group, LLC

Doing business as Saints Wewoka Family Medicine

  • Family Medicine Physician
  • Wewoka, OK
National Provider Identifier
1356676050
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2762 Issued in OK
Legal business name
SAINTS MEDICAL GROUP, LLC
Doing business as
Saints Wewoka Family Medicine
Practice address
1509 S Indian Rd
Wewoka, OK 74884-9781
Phone
(405) 257-6272
Fax
(405) 257-6273
NPI assigned
Oct 14, 2009
Last updated
Oct 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2762 OK Primary

Addresses

Primary practice location

1509 S Indian Rd
Wewoka, OK 74884-9781

Mailing address

PO Box 248865
Oklahoma City, OK 73124-8865
Phone (405) 257-6272

Other names 1

  • Saints Wewoka Family Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Saint 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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1356676050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248865",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731248865",
            "telephone_number": "405-257-6272",
            "fax_number": "405-257-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 S INDIAN RD",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "748849781",
            "telephone_number": "405-257-6272",
            "fax_number": "405-257-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINTS MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "CLIENT ACCOUNT REPRESENTATIVE",
        "authorized_official_telephone_number": "405-231-3817"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saints Wewoka Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wewoka, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.