Saints Medical Group, LLC
Organization Active NPI Family Medicine Physician · Mustang, OK
NPI 1508263229 · NPPES record last updated Mar 25, 2019
Key facts
- NPI
- 1508263229
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- SAINTS MEDICAL GROUP, LLC
- Practice address
- 201 S Sara Road
Suite 200
Mustang, OK 73064-4562 - Phone
- (405) 578-3250
- Fax
- (405) 578-3299
- NPI assigned
- Nov 24, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- SSM HEALTH CARE OF OKLAHOMA, INC
Authorized official
- Name
- Crystal L Pena
- Title
- Insurance Credentialing Specialist
- Phone
- (405) 272-7452
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Saints Neurology of Enid
- Part of
- Marilyn Doughtery MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | |||
| Family Medicine Physician |
207Q00000X | Yes | ||
| Cardiovascular Disease Physician |
207RC0000X |
Addresses
Primary practice location
201 S Sara Road
Suite 200
Mustang, OK 73064-4562
Mailing address
201 S Sara Road
Suite 200
Mustang, OK 73064-4562
Phone (405) 578-3250
Other names
- St Anthony Physicians Mustang
Other providers in Mustang, OK
- Keegan Ross
- Andreya Roundtree
- Saif Ullah Farooq MD PLLC
- Saint Medical Group, LLC
- Saints Medical Group, LLC
- Saints Medical Group, LLC
- Jojo Sam Johnson
- Ilona Dobrowolska Samara
- Elexias Bianca Sanchez
- Jaden Sanders
All providers in Mustang, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.