St. Mary's Physician Associates, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ST. MARY'S PHYSICIAN ASSOCIATES, LLC

Practice address

314 E Owen K Garriott Rd
Enid, OK 73701-5712

Phone

(580) 249-3929

Fax

(580) 234-3301

NPI assigned

Feb 4, 2014

Last updated

Jun 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Todd Evans

Title

VP

Phone

(610) 768-3300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• St. Mary's Physician Associates, LLC

  • Durable Medical Equipment & Medical Supplies
  • Enid, OK
  • NPI 1568270882

  3678672276

  Same PAC ID
• St. Mary's Physician Associates, LLC

  • Family Medicine Physician
  • Enid, OK
  • NPI 1740302751

  3678672276

  Same PAC ID

Tax ID family

St Marys Physician Associates LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• St. Mary's Physician Associates, LLC

  dba St. Mary's Podiatry Clinic

  • Durable Medical Equipment & Medical Supplies
  • Ponca City, OK
  • NPI 1346613833
  NPD tax ID
• St. Mary's Physician Associates, LLC

  • Durable Medical Equipment & Medical Supplies
  • Enid, OK
  • NPI 1568270882
  NPD tax ID
• Womens Health & Wellness

  • Obstetrics & Gynecology Physician
  • Enid, OK
  • NPI 1770571598
  NPD tax ID

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1740603265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "484-913-7434",
            "fax_number": "484-913-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E OWEN K GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015712",
            "telephone_number": "580-249-3929",
            "fax_number": "580-234-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S PHYSICIAN ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "610-768-3300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200111620M",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SSM Health Care of Oklahoma, Inc (St Anthony Hematology/Oncology Enid)
• St Marys Anesthesia Group
• St. Mary's Laboratory, LLC
• St. Mary's Physician Associates, LLC
• St. Mary's Physician Associates, LLC
• St. Mary's Regional Medical Center
• St. Mary's Regional Medical Center
• Peyton Parris Stacy, BA
• Richard E Staerkel, MD
• Clark Staiger, LPC AND CEAP

• Durable Medical Equipment & Medical Supplies in Enid, OK
• Providers in Enid, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.