NPIMap

Organization Active NPI

St Anthony Physicians Santa Fe Group

Doing business as SSM Health Care of Oklahoma, Inc

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1801346887
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ST ANTHONY PHYSICIANS SANTA FE GROUP
Doing business as
SSM Health Care of Oklahoma, Inc
Practice address
6201 N Santa Fe Ave
Suite 2020
Oklahoma City, OK 73118-7538
Phone
(405) 772-4450
Fax
(405) 772-4459
NPI assigned
Oct 13, 2016
Organization subpart
Yes
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6201 N Santa Fe Ave
Suite 2020
Oklahoma City, OK 73118-7538

Mailing address

6201 N Santa Fe Ave
Suite 2020
Oklahoma City, OK 73118-7538
Phone (405) 772-4450

Other names 1

  • SSM Health Care of Oklahoma, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marilyn Doughtery MD56 organizations share this tax ID, including this one
Part of
Marilyn Doughtery MD

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1801346887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 N SANTA FE AVE",
            "address_2": "SUITE 2020",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187538",
            "telephone_number": "405-772-4450",
            "fax_number": "405-772-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 N SANTA FE AVE",
            "address_2": "SUITE 2020",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187538",
            "telephone_number": "405-772-4450",
            "fax_number": "405-772-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONY PHYSICIANS SANTA FE GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSM HEALTH CARE OF OKLAHOMA, INC",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health Care of Oklahoma, Inc",
            "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 Oct 13, 2016; 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.