NPIMap

Organization Active NPI

Saints Medical Group, LLC

Doing business as Saints at Shepherd Mall

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1366644577
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAINTS MEDICAL GROUP, LLC
Doing business as
Saints at Shepherd Mall
Practice address
2401 SW 23Rd St
Suite 101
Oklahoma City, OK 73108
Phone
(405) 948-6300
Fax
(405) 948-6301
NPI assigned
Jun 1, 2007
Last updated
Aug 8, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINTS MEDICAL GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Synovia F Bain
Title
Client Account Administrator
Phone
(405) 231-3824

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2401 SW 23Rd St
Suite 101
Oklahoma City, OK 73108

Mailing address

PO Box 268960
Oklahoma City, OK 73126-8960
Phone (405) 231-3857

Other names 1

  • Saints at Shepherd Mall Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Saint Medical Group LLC114 organizations share this tax ID, including this one
Part of
Saint Medical Group LLC

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": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1366644577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268960",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268960",
            "telephone_number": "405-231-3857",
            "fax_number": "405-942-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 SW 23RD ST",
            "address_2": "SUITE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73108",
            "telephone_number": "405-948-6300",
            "fax_number": "405-948-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINTS MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINTS MEDICAL GROUP, LLC",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "SYNOVIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CLIENT ACCOUNT ADMINISTRATOR",
        "authorized_official_telephone_number": "405-231-3824"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saints at Shepherd Mall",
            "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 8, 2007; 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.