NPIMap

Organization Active NPI

St Anthony Physicians Allergy

  • Allergy & Immunology Physician
  • Oklahoma City, OK
National Provider Identifier
1639612518
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ST ANTHONY PHYSICIANS ALLERGY
Practice address
6205 N Santa Fe Ave
Suite 105
Oklahoma City, OK 73118-7537
Phone
(405) 772-4390
Fax
(405) 772-4399
NPI assigned
Nov 28, 2016
Organization subpart
Yes
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 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
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

6205 N Santa Fe Ave
Suite 105
Oklahoma City, OK 73118-7537

Mailing address

6205 N Santa Fe Ave
Suite 105
Oklahoma City, OK 73118-7537
Phone (405) 772-4390

Other names 1

  • Saints Medical Group, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Saints Neurology of Enid114 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

6205 N Santa Fe Ave
Ste 105
Oklahoma City, OK 73118
Phone (405) 810-8448

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1639612518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 N SANTA FE AVE",
            "address_2": "SUITE 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187537",
            "telephone_number": "405-772-4390",
            "fax_number": "405-772-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 N SANTA FE AVE",
            "address_2": "SUITE 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187537",
            "telephone_number": "405-772-4390",
            "fax_number": "405-772-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONY PHYSICIANS ALLERGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSM HEALTH CARE OF OKLAHOMA, INC",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "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": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saints Medical Group, LLC",
            "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 Nov 28, 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.