NPIMap

Organization Active NPI

SSM Healthcare of Ok, Inc

Doing business as St Anthony Physicians-Heritage Family Medicine

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1871862334
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SSM HEALTHCARE OF OK, INC
Doing business as
St Anthony Physicians-Heritage Family Medicine
Practice address
3400 S Douglas Blvd
Oklahoma City, OK 73150
Phone
(405) 815-5000
Fax
(405) 272-7937
NPI assigned
Dec 29, 2011
Last updated
Dec 29, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
SSM HEALTHCARE OF OK, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

3400 S Douglas Blvd
Oklahoma City, OK 73150

Mailing address

PO Box 269064
Oklahoma City, OK 73126-9064
Phone (405) 272-7452

Other names 1

  • St Anthony Physicians-Heritage Family Medicine 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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1871862334",
    "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": "405-272-7452",
            "fax_number": "405-272-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 S DOUGLAS BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73150",
            "telephone_number": "405-815-5000",
            "fax_number": "405-272-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM HEALTHCARE OF OK, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSM HEALTHCARE OF OK, INC",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "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": "St Anthony Physicians-Heritage Family Medicine",
            "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 Dec 29, 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.