NPIMap

Saint Medical Group, LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Oklahoma City, OK

NPI 1487290771 · NPPES record last updated Aug 21, 2023

Key facts

NPI
1487290771
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
SAINT MEDICAL GROUP, LLC
Practice address
13401 N Western Ave Ste 301
Oklahoma City, OK 73114-1411
Phone
(405) 218-2530
Fax
(405) 578-3299
NPI assigned
Nov 21, 2019
Organization subpart
Yes
Parent organization (as reported)
SSM HEALTH CARE OF OKLAHOMA, INC.

Authorized official

Name
Crystal L Pena
Title
Credentialing Specialist
Phone
(405) 272-7452

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 430

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 430

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200228002405 OK DME Supplier - Physician - General Practice 7012914898 Practice locations: Oklahoma City, OK

National Provider Directory

Tax ID family
Saints Neurology of Enid (114 organizations share this tax ID)
Part of
Marilyn Doughtery MD

Locations

777 NW 63rd St
Fl 4
Oklahoma City, OK 73116
Phone (405) 231-3818

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207X00000X
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

13401 N Western Ave Ste 301
Oklahoma City, OK 73114-1411

Mailing address

13401 N Western Ave Ste 301
Oklahoma City, OK 73114-1411
Phone (405) 218-2530

Other names

  • SSM Health Bone & Joint OSOI North Doing business as

Other providers in Oklahoma City, OK

All providers in Oklahoma City, OK · Durable Medical Equipment & Medical Supplies in Oklahoma

Sources for this page

Verify at the official NPI Registry.