NPIMap

Organization Active NPI

Saints Medical Group

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1689964645
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAINTS MEDICAL GROUP
Practice address
9000 Cameron Pkwy Ste 105
Oklahoma City, OK 73114-3701
Phone
(405) 416-8505
Fax
(405) 286-3136
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9000 Cameron Pkwy Ste 105
Oklahoma City, OK 73114-3701

Mailing address

777 NW 63Rd St FL 4
Oklahoma City, OK 73116-7601
Phone (405) 416-8505

Other practice location 1

2000 N Classen Blvd
Oklahoma City, OK 73106-6016
Phone (405) 523-5034

Other names 1

  • Saints On Site at American Fidelity Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Saints Neurology of Enid114 organizations share this tax ID, including this one

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

9000 Cameron Pkwy
Ste 105
Oklahoma City, OK 73114
Phone (405) 347-7534

2000 N Classen Blvd
Oklahoma City, OK 73106
Phone (405) 523-5034

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1689964645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 NW 63RD ST FL 4",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167601",
            "telephone_number": "405-416-8505",
            "fax_number": "405-286-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 CAMERON PKWY STE 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731143701",
            "telephone_number": "405-416-8505",
            "fax_number": "405-286-3136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 N Classen Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731066016",
            "country_code": "US",
            "telephone_number": "405-523-5034",
            "fax_number": "405-521-1531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAINTS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saints On Site at American Fidelity",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saints On Site at American Fidelity",
            "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 Dec 16, 2020; 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.