Organization Active NPI

Saints Medical Group, LLC

Doing business as Saints Internal Medicine

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1386823102
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SAINTS MEDICAL GROUP, LLC
Doing business as
Saints Internal Medicine
Practice address
1111 N Lee Ave
Suite 334
Oklahoma City, OK 73103-2600
Phone
(405) 272-4953
Fax
(405) 272-4956
NPI assigned
Oct 29, 2007
Last updated
Apr 15, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINTS MEDICAL GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1111 N Lee Ave
Suite 334
Oklahoma City, OK 73103-2600

Mailing address

PO Box 268975
Oklahoma City, OK 73126-8975
Phone (405) 272-4953

Other identifiers 1

IdentifierTypeStateIssuer
200094240LMedicaidOK

Other names 1

  • Saints Internal Medicine 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
Saints 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

Practitioners & affiliated clinicians

Practitioners 2

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": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1386823102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268975",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268975",
            "telephone_number": "405-272-4953",
            "fax_number": "405-272-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N LEE AVE",
            "address_2": "SUITE 334",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032600",
            "telephone_number": "405-272-4953",
            "fax_number": "405-272-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINTS MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINTS MEDICAL GROUP, LLC",
        "enumeration_date": "2007-10-29",
        "last_updated": "2010-04-15",
        "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": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200094240L",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saints Internal Medicine",
            "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 Apr 15, 2010; 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.