NPIMap

Saints Medical Group, LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Edmond, OK

NPI 1730907700 · NPPES record last updated Apr 10, 2025

Key facts

NPI
1730907700
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
SAINTS MEDICAL GROUP, LLC
Practice address
2749 Progressive Dr
Edmond, OK 73034-7649
Phone
(405) 772-4110
NPI assigned
Sep 30, 2024
Organization subpart
No

Authorized official

Name
Shasta Rene Manuel
Title
VP - Finance
Phone
(405) 272-7282

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 588

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

View all 588

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250103002333 OK DME Supplier - Physician - General Practice 7012914898 Practice locations: Edmond, OK

National Provider Directory

Locations

201 S Sara Rd
Ste 200
Mustang, OK 73064
Phone (405) 578-3250

519 S Woody Guthrie St
Okemah, OK 74859
Phone (918) 623-9309

3400 NW 56th St
Oklahoma City, OK 73112
Phone (405) 946-5563

13401 N Western Ave
Oklahoma City, OK 73114
Phone (405) 252-3400

6201 N Santa Fe Ave
Ste 2010
Oklahoma City, OK 73118
Phone (405) 272-5555

1111 N Lee Ave
Ste 334
Oklahoma City, OK 73103
Phone (405) 272-4953

1111 N Lee Ave
Ste 235
Oklahoma City, OK 73103
Phone (405) 272-6580

800 NW 9th St
Oklahoma City, OK 73106
Phone (405) 815-5050

1011 N Dewey Ave
Oklahoma City, OK 73102
Phone (405) 228-7100

6205 N Santa Fe Ave
Ste 201
Oklahoma City, OK 73118
Phone (405) 272-5500

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

2000 N Classen Blvd
Ste 104
Oklahoma City, OK 73106
Phone (405) 523-5034

999 Hospital Dr
Purcell, OK 73080
Phone (405) 803-5010

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

2749 Progressive Dr
Edmond, OK 73034-7649

Mailing address

2749 Progressive Dr
Edmond, OK 73034-7649
Phone (405) 772-4110

Other names

  • SSM Health Medical Group 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 Apr 10, 2025.

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1730907700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 PROGRESSIVE DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347649",
            "telephone_number": "405-772-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2749 PROGRESSIVE DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347649",
            "telephone_number": "405-772-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINTS MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "MANUEL",
        "authorized_official_first_name": "SHASTA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "VP - FINANCE",
        "authorized_official_telephone_number": "405-272-7282"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

All providers in Edmond, OK · Durable Medical Equipment & Medical Supplies in Oklahoma

Sources for this page

Verify at the official NPI Registry.