SAINTS MEDICAL GROUP, LLC (NPI# 1366644577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366644577 |
| Entity Type | Organization |
| Organization Name | SAINTS MEDICAL GROUP, LLC |
| Other Organization Name | SAINTS AT SHEPHERD MALL |
| Practice Address |
2401 Sw 23rd St Suite 101 Oklahoma City OK 73108 |
| Mailing Address |
Po Box 268960 Oklahoma City OK 73126-8960 |
| Practice Telephone | 4059486300 |
| Practice Fax Number | 4059486301 |
| Mailing Telephone | 4052313857 |
| Mailing Fax Number | 4059427743 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-08-08 |
| Authorized Official Name | SYNOVIA F BAIN (CLIENT ACCOUNT ADMINISTRATOR) |
| Authorized Official Telephone | 4052313824 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAINTS MEDICAL GROUP, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Saints at Shepherd Mall | Doing Business As Name - Organization |
| 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 |
| 1811103922 | Saints Medical Group, LLC | Family Medicine | 501 N Mustang Rd, Suite D, Mustang, OK 73064-7048 | 2007-05-15 |
| Street Address |
2401 SW 23RD ST SUITE 101 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316477714 | Dionna Danielle Weixel | Counselor | 4341 Will Rogers Parkway, Oklahoma City, OK 73108 | 2017-06-18 |
| 1497205389 | Amber Croom | Case Manager/Care Coordinator | 909 S Meridian Ave Ste 525, Oklahoma City, OK 73108 | 2016-10-04 |
| 1063837524 | Bobby King | Counselor | 401 46th St., Oklahoma City, OK 73108 | 2014-02-20 |
| 1104167816 | Chad Jeffrey Perry | Physical Therapy Assistant | 238 Quadrum Drive, Oklahoma City, OK 73108 | 2013-03-05 |
| 1295071918 | Avalon Corrections | Case Management | 400 S. May, Oklahoma City, OK 73108 | 2012-12-28 |
| 1164608790 | American Current Care P.a. | Clinic/Center | 200 Quadrum Drive, Oklahoma City, OK 73108 | 2008-01-14 |
| 1790960672 | Fresh Start Counseling Services Inc | Community/Behavioral Health | 4801 Classen Boulevard, Suite 159, Oklahoma City, OK 73108 | 2008-01-09 |
| 1902027287 | Joel William Corn | Family Medicine | 1506 S Agnew, Okha City, OK 73108 | 2007-05-02 |
| 1851493944 | Good Shepherd Hospice Inc | Hospice Care, Community Based | 4350 Will Rogers Parkway, Suite 400, Oklahoma City, OK 73108 | 2006-09-01 |
| 1295742039 | Patrick Punchuk Lo | Family Medicine | 1506 S Agnew Ave, Ok City, OK 73108 | 2006-08-02 |
| Find all providers in zip 73108 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| 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 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73108 |
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| 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.