NPIMap

Organization Active NPI

Saints Medical Group, LLC

Doing business as SSM Health Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Edmond, OK
National Provider Identifier
1730907700
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SAINTS MEDICAL GROUP, LLC
Doing business as
SSM Health Medical Group
Practice address
2749 Progressive Dr
Edmond, OK 73034-7649
Phone
(405) 772-4110
NPI assigned
Sep 30, 2024
Last updated
Apr 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

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

Specialties & licenses 1

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

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 1

  • SSM Health Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

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

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1414 Arlington St
Ste 2200
Ada, OK 74820
Phone (580) 310-9800

330 S 5th St
Ste 400
Enid, OK 73701
Phone (580) 234-7320

1440 N Mustang Rd
Mustang, OK 73064
Phone (405) 280-7546

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

100 W Main St
Ste 200
Oklahoma City, OK 73102
Phone (405) 815-5060

1000 N Lee Ave
Ste 300
Oklahoma City, OK 73102
Phone (405) 231-3000

1111 N Lee Ave
Ste 320
Oklahoma City, OK 73103
Phone (405) 272-8325

1622 Midtown Pl
Oklahoma City, OK 73130
Phone (405) 280-7546

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

301 NW 132nd St
Oklahoma City, OK 73114
Phone (405) 713-4880

608 NW 9th St
Ste 3206
Oklahoma City, OK 73102
Phone (405) 231-3919

6205 N Santa Fe Ave
Ste 200
Oklahoma City, OK 73118
Phone (405) 231-8740

3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801

Practitioners & affiliated clinicians

Practitioners 579

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 579

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.