NPIMap

Organization Active NPI

St Anthony Physicians Thyroid Center

Doing business as SSM Health Care of Oklahoma, Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Oklahoma City, OK
National Provider Identifier
1356716435
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ST ANTHONY PHYSICIANS THYROID CENTER
Doing business as
SSM Health Care of Oklahoma, Inc
Practice address
13401 N Western Ave
Suite 407
Oklahoma City, OK 73114-1408
Phone
(405) 252-3494
Fax
(405) 252-3498
NPI assigned
Dec 1, 2015
Organization subpart
Yes
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

13401 N Western Ave
Suite 407
Oklahoma City, OK 73114-1408

Mailing address

13401 N Western Ave
Suite 407
Oklahoma City, OK 73114-1408
Phone (405) 252-3494

Other names 1

  • SSM Health Care of Oklahoma, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
24 Saints Physical the56 organizations share this tax ID, including this one
Part of
24 Saints Physical the

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

13401 N Western Ave
Ste 407
Oklahoma City, OK 73114
Phone (405) 252-3494

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1356716435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13401 N WESTERN AVE",
            "address_2": "SUITE 407",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141408",
            "telephone_number": "405-252-3494",
            "fax_number": "405-252-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13401 N WESTERN AVE",
            "address_2": "SUITE 407",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141408",
            "telephone_number": "405-252-3494",
            "fax_number": "405-252-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONY PHYSICIANS THYROID CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSM HEALTH CARE OF OKLAHOMA, INC",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "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": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health Care of Oklahoma, Inc",
            "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 1, 2015; 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.