NPIMap

Organization Active NPI

Saint Medical Group, LLC

Doing business as SSM Health Medical Group Family Medicine El Reno

  • Primary Care Clinic/Center
  • El Reno, OK
National Provider Identifier
1356803308
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SAINT MEDICAL GROUP, LLC
Doing business as
SSM Health Medical Group Family Medicine El Reno
Practice address
2315 Parkview Dr Ste 2a
El Reno, OK 73036-2149
Phone
(405) 252-3550
Fax
(405) 252-3555
NPI assigned
Apr 1, 2019
Last updated
Apr 1, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

2315 Parkview Dr Ste 2a
El Reno, OK 73036-2149

Mailing address

2315 Parkview Dr Ste 2a
El Reno, OK 73036-2149
Phone (405) 252-3550

Other names 1

  • SSM Health Medical Group Family Medicine El Reno Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Saints Medical Group LLC114 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

2315 Parkview Dr
Ste 2A
El Reno, OK 73036
Phone (405) 252-3550

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1356803308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 PARKVIEW DR STE 2A",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362149",
            "telephone_number": "405-252-3550",
            "fax_number": "405-252-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 PARKVIEW DR STE 2A",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362149",
            "telephone_number": "405-252-3550",
            "fax_number": "405-252-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSM HEALTH CARE OF OKLAHOMA, INC.",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "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": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health Medical Group Family Medicine El Reno",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Reno, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.