NPIMap

Organization Active NPI

St Anthony Physicians Gastroenterology Mob

Doing business as SSM Health Care of Oklahoma, Inc

  • Gastroenterology Physician
  • Oklahoma City, OK
National Provider Identifier
1447700422
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ST ANTHONY PHYSICIANS GASTROENTEROLOGY MOB
Doing business as
SSM Health Care of Oklahoma, Inc
Practice address
535 NW 9TH St
Suite 325
Oklahoma City, OK 73102-1070
Phone
(405) 601-6630
Fax
(405) 601-6617
NPI assigned
Oct 13, 2016
Organization subpart
Yes
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

535 NW 9TH St
Suite 325
Oklahoma City, OK 73102-1070

Mailing address

535 NW 9TH St
Suite 325
Oklahoma City, OK 73102-1070
Phone (405) 601-6630

Other names 1

  • SSM Health Care of Oklahoma, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marilyn Doughtery MD56 organizations share this tax ID, including this one
Part of
Marilyn Doughtery MD

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

535 NW 9th St
Ste 325
Oklahoma City, OK 73102
Phone (405) 272-6877

535 NW 9th St
Oklahoma City, OK 73102
Phone (405) 231-2133

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1447700422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 NW 9TH ST",
            "address_2": "SUITE 325",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021070",
            "telephone_number": "405-601-6630",
            "fax_number": "405-601-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 NW 9TH ST",
            "address_2": "SUITE 325",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021070",
            "telephone_number": "405-601-6630",
            "fax_number": "405-601-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONY PHYSICIANS GASTROENTEROLOGY MOB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSM HEALTH CARE OF OKLAHOMA, INC",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "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": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "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 Oct 13, 2016; 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.