NPIMap

Organization Active NPI

SSM Healthcare of Oklahoma, Inc

Doing business as St Anthony Breast Care Services

  • Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1710283189
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SSM HEALTHCARE OF OKLAHOMA, INC
Doing business as
St Anthony Breast Care Services
Practice address
535 NW 9TH St
Suite 205
Oklahoma City, OK 73102-1070
Phone
(405) 231-2926
Fax
(405) 272-4986
NPI assigned
Feb 2, 2011
Organization subpart
Yes
Parent organization
SSM HEALTHCARE OF OKLAHOM, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Crystal Pena
Title
Insurance Credentialing Specialist
Phone
(405) 272-7524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

535 NW 9TH St
Suite 205
Oklahoma City, OK 73102-1070

Mailing address

PO Box 269064
Oklahoma City, OK 73126-9064
Phone (405) 231-2926

Other names 1

  • St Anthony Breast Care Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
24 Saints Physical the56 organizations share this tax ID, including this one
Part of
24 Saints Physical the

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

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1710283189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269064",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269064",
            "telephone_number": "405-231-2926",
            "fax_number": "405-272-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 NW 9TH ST",
            "address_2": "SUITE 205",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021070",
            "telephone_number": "405-231-2926",
            "fax_number": "405-272-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM HEALTHCARE OF OKLAHOMA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSM HEALTHCARE OF OKLAHOM, INC",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "INSURANCE CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "405-272-7524"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Anthony Breast Care Services",
            "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 Jul 7, 2011; 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.