SAINTS MEDICAL GROUP, LLC


Address: 609 W Memorial Rd, Oklahoma City, OK 73114-2006
Phone: 4054185400

SAINTS MEDICAL GROUP, LLC (NPI# 1205476819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205476819
Entity Type Organization
Organization Name SAINTS MEDICAL GROUP, LLC
Practice Address 609 W Memorial Rd
Oklahoma City
OK 73114-2006
Practice Telephone 4054185400
Practice Fax Number 4054185401
Mailing Telephone 4054185400
Mailing Fax Number 4054185401
Enumeration Date 2020-01-11
Last Update Date 2020-01-11
Authorized Official Name CRYSTAL L PENA (PROVIDER CREDENTIALING COORDINATOR)
Authorized Official Telephone 4052727452
Is Organization Subpart Y
Parent Organization Name SSM HEALTHCARE OF OK, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
SSM Health Medical Group Crossways Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1306447172 Saints Medical Group, LLC Family Medicine 2749 Progressive Dr, Suite B, Edmond, OK 73034 2020-11-06
1144836206 Saints Medical Group, LLC Obstetrics & Gynecology 5604 Se 67th St, Oklahoma City, OK 73135-1719 2020-09-23
1437774874 Saints Medical Group, LLC Physical Medicine & Rehabilitation 3400 S Douglas Blvd Ste 306, Oklahoma City, OK 73150-1001 2020-06-11
1285138032 Saints Medical Group, LLC Dermatology 1440 N Mustang Road, Mustang, OK 73064-7214 2018-03-19
1720325533 Saints Medical Group, LLC Dermatology 9720 Broadway Extension, Oklahoma City, OK 73114 2013-01-14
1396034047 Saints Medical Group, LLC Neurological Surgery 800 Nw 9th St Ste 201, Oklahoma City, OK 73106-7253 2011-04-04
1235382540 Saints Medical Group, LLC Family Medicine 2002 N Council Ave, Blanchard, OK 73010 2008-10-30
1659528222 Saints Medical Group, LLC Family Medicine 10700 S Penn Ave, Oklahoma City, OK 73170-4206 2008-08-26
1699948646 Saints Medical Group, LLC Nurse Practitioner 7101 Nw 23rd St, Bethany, OK 73008-5159 2008-04-10
1366644577 Saints Medical Group, LLC Physician Assistant 2401 Sw 23rd St, Suite 101, Oklahoma City, OK 73108 2007-06-01

Office Location

Street Address 609 W MEMORIAL RD
City OKLAHOMA CITY
State OK
Zip Code 73114-2006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548269459 Darren Dean Elenburg Podiatrist 609 W Memorial Rd, Oklahoma City, OK 73114-2006 2005-07-21
1053961185 Morgan Eyecare, Pllc Clinic/Center 609 W Memorial Rd, Oklahoma City, OK 73114-2006 2019-09-20
1265992978 All Things Through Christ, LLC Family Medicine 609 W Memorial Rd, Oklahoma City, OK 73114-2006 2019-03-20
1609331891 Onesource Practitioners, LLC Family Medicine 609 W Memorial Rd, Oklahoma City, OK 73114-2006 2019-02-01
1821561770 Karen Brown Nurse Practitioner 609 W Memorial Rd, Oklahoma City, OK 73114-2006 2019-01-03
1205336187 Ingrid W. Jackson Md Family Medicine 609 W Memorial Rd, Oklahoma City, OK 73114-2006 2018-02-16
1407355324 Hebrewselevenone LLC Pediatrics 609 W Memorial Rd, Oklahoma City, OK 73114-2006 2018-02-06
1467950519 Kimberly Bryan Family Medicine 609 W Memorial Rd, Oklahoma City, OK 73114-2006 2018-01-24
1174057624 Chad Michael Knight Podiatrist 609 W Memorial Rd, Oklahoma City, OK 73114-2006 2017-04-11
1720449598 Frey Orthopedics, Pllc Orthopaedic Surgery 609 W Memorial Rd, Oklahoma City, OK 73114-2006 2016-03-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124669783 Heather Williams Occupational Therapist 1404 Nw122nd St, Oklahoma City, OK 73114 2019-10-04
1477194033 Shonta Jones Technician 10723 Norh Western, Apartment G, Oklahoma City, OK 73114 2019-10-04
1023537644 Tracye Carter Registered Nurse 812 Nw 121 Terr, Oklahom City, OK 73114 2017-09-14
1003362849 Randy Joshua Williamson Behavioral Analyst 101 Bainbridge Rd, Oklahoma City, OK 73114 2016-08-31
1427413368 John Adrian Howard Physical Therapist 13100 N Western Ave Ste 302, Oklahoma City, OK 73114 2015-12-18
1497150197 Payam Ishani Afousi Dentist 9405 N. Penn Place, Casady Square, Oklahoma City, OK 73114 2014-10-24
1922407386 Kelvin Hughes Counselor 1400 Nw 105th Ter, Oklahoma City, OK 73114 2014-08-21
1285056887 Malarie Jackson Nurse Practitioner 609 W. Memorial Rd., Oklahoma City, OK 73114 2014-01-16
1508108705 Adam Liberty Community/Behavioral Health 428 N.w 81st, Oklahoma City, OK 73114 2013-03-26
1780926345 Michelle D Hardimon Behavioral Analyst 700 Ne 122nd Apt 4509, Oklahoma City, OK 73114 2013-03-21
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164039632 Axiom Medical Solutions, LLC Family Medicine 14132 Se 134th St, Oklahoma City, OK 73165-7669 2020-09-28
1104437219 L and M Investments LLC Family Medicine 6001 Nw 139th St, Oklahoma City, OK 73142-1919 2020-08-12
1235748617 Brook Noel Leland Family Medicine 3329 Nw 22nd St, Oklahoma City, OK 73107-3021 2020-07-30
1043835176 Thomas Patrick Owens IIi Family Medicine 900 Ne 10th Street, Oklahoma City, OK 73104-5420 2020-06-15
1730703562 Michael Williamson Family Medicine 3500 Nw 56th St Ste 10, Oklahoma City, OK 73112-4529 2020-06-08
1295363620 Saint Medical Group, LLC Family Medicine 3400 S Douglas Blvd Ste 307, Oklahoma City, OK 73150-1001 2020-03-31
1881220580 Sarah Laing Family Medicine 1111 N Lee Ave Ste 305, Oklahoma City, OK 73103-2620 2020-03-14
1881225290 Neans Lynn Denson Family Medicine 2815 Sw 119th St, Oklahoma City, OK 73170-2605 2020-02-04
1114563699 Aim Health Clinics, LLC Family Medicine 2301 W I 44 Service Rd Ste 310, Oklahoma City, OK 73112-8729 2019-11-20
1841843265 Stephanie N White Family Medicine 3400 Nw Expressway Bldg C-815, Oklahoma City, OK 73112-4493 2019-07-24
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Competitor

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City OKLAHOMA CITY
Zip Code 73114

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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