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Saints Medical Group, LLC

Organization Active NPI Internal Medicine Physician · Oklahoma City, OK

NPI 1649459140 · NPPES record last updated Feb 25, 2010

Key facts

NPI
1649459140
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
SAINTS MEDICAL GROUP, LLC
Practice address
6205 N Santa Fe Ave
Suite 201
Oklahoma City, OK 73118-7537
Phone
(405) 272-5500
Fax
(405) 810-4989
NPI assigned
Oct 31, 2007
Organization subpart
Yes
Parent organization (as reported)
SAINTS MEDICAL GROUP, LLC

Authorized official

Name
Katy S Bain
Title
Client Account Representative
Phone
(405) 231-3817

Corporate family (same tax ID) 24

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

Practitioners 1

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

National Provider Directory

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes

Addresses

Primary practice location

6205 N Santa Fe Ave
Suite 201
Oklahoma City, OK 73118-7537

Mailing address

PO Box 269090
Oklahoma City, OK 73126-9090
Phone (405) 272-5500

Other names

  • Saints Medicine Associates Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 25, 2010.

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1649459140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269090",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269090",
            "telephone_number": "405-272-5500",
            "fax_number": "405-810-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 N SANTA FE AVE",
            "address_2": "SUITE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187537",
            "telephone_number": "405-272-5500",
            "fax_number": "405-810-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINTS MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINTS MEDICAL GROUP, LLC",
        "enumeration_date": "2007-10-31",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "KATY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLIENT ACCOUNT REPRESENTATIVE",
        "authorized_official_telephone_number": "405-231-3817"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saints Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

All providers in Oklahoma City, OK · Internal Medicine Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.