SAINTS MEDICAL GROUP, LLC (NPI# 1396034047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396034047 |
Entity Type | Organization |
Organization Name | SAINTS MEDICAL GROUP, LLC |
Other Organization Name | SSM HEALTH NEUROSCIENCES |
Practice Address |
800 Nw 9th St Ste 201 Oklahoma City OK 73106-7253 |
Practice Telephone | 4059797875 |
Practice Fax Number | 4059797880 |
Mailing Telephone | 4059797875 |
Mailing Fax Number | 4059797880 |
Enumeration Date | 2011-04-04 |
Last Update Date | 2019-07-25 |
Authorized Official Name | CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST) |
Authorized Official Telephone | 4052727452 |
Is Organization Subpart | Y |
Parent Organization Name | SSM HEALTHCARE OF OKLAHOMA, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
SSM Health Neurosciences | Doing Business As Name - Organization |
St Anthony Neurosurgery | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
535 Nw 9th St, Suite 205, Oklahoma City, OK 731021070 | 4052312900 | 4052724905 |
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 |
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 |
1811103922 | Saints Medical Group, LLC | Family Medicine | 501 N Mustang Rd, Suite D, Mustang, OK 73064-7048 | 2007-05-15 |
Street Address |
800 NW 9TH ST STE 201 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73106-7253 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972907038 | Cassie Lynn Johnson | Nurse Practitioner | 800 Nw 9th St Ste 201, Oklahoma City, OK 73106-7253 | 2014-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
1598290538 | Eric T Manuel | Counselor | 1841 Nw 18th Street, Oklahoma City, OK 73106 | 2017-04-27 |
1679010516 | Danny Lee Stone | Peer Specialist | 3010 N Mckinley Ave, Oklahoma City, OK 73106 | 2017-01-31 |
1245683929 | Shandi Alphonso | Peer Specialist | 1219 N.w. 9th St., Okc, OK 73106 | 2016-07-19 |
1033593173 | Good Journey Hospice, LLC | Hospice Care, Community Based | 901 Nw 25th, Room 2, Oklahoma City, OK 73106 | 2015-07-18 |
1114317435 | Savanah Brook Caddel | Counselor | 1251 Nw 25th St, Oklahoma City, OK 73106 | 2015-01-24 |
1619381084 | Theressa Hall | Case Manager/Care Coordinator | 1330 N. Classen Blvd, Suite 302, Oklahoma City, OK 73106 | 2014-06-13 |
1417376021 | Christe Lyn Sweat | Case Manager/Care Coordinator | 900 Nw 10 Street, Oklahoma City, OK 73106 | 2014-04-10 |
1003169004 | Jessica Stevie Schrameck | Counselor | 1017 Nw 6th St., Oklahoma City, OK 73106 | 2012-10-16 |
1841579166 | Frances Bernice Pasternik | Counselor | 2220 North Classen Blvd, Suite E, Oklahoma City, OK 73106 | 2011-08-04 |
Find all providers in zip 73106 |
Taxonomy Code | 207T00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neurological Surgery |
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215356589 | Zoya Alexandrovna Voronovich | Neurological Surgery | 1000 N Lincoln Blvd Ste 300, Oklahoma City, OK 73104-3252 | 2014-04-15 |
1669784351 | Thomas D. Reeder II, D.o., P.C. | Neurological Surgery | 2212 Nw 47th St, Oklahoma City, OK 73112-8848 | 2010-07-09 |
1215252440 | Joanna Elizabeth Gernsback | Neurological Surgery | 1000 N Lincoln Blvd # 4000, Oklahoma City, OK 73104-3252 | 2010-03-31 |
1497977359 | Michael Edward Sughrue | Neurological Surgery | 1000 N Lincoln Blvd Ste 400, Oklahoma City, OK 73104-3252 | 2007-05-02 |
1467570119 | Impulse Diagnostics LLC | Neurological Surgery | 3601 N May Ave Ste C, Oklahoma City, OK 73112-6659 | 2007-03-27 |
1639223449 | Richard Vertrees Smith | Neurological Surgery | 4120 W Memorial Rd Ste 205, Oklahoma City, OK 73120-9322 | 2007-01-22 |
1891731949 | Andrew M. Bauer | Neurological Surgery | 1000 N Lincoln Blvd Ste 4000, Oklahoma City, OK 73104-3252 | 2006-06-20 |
1538108931 | Craig H. Rabb | Neurological Surgery | 1000 N. Lincoln Blvd., Suite 400, Oklahoma City, OK 73104 | 2006-06-04 |
1083685549 | Paul C Francel | Neurological Surgery | 13825 Quail Pointe Dr, Oklahoma City, OK 73134-1021 | 2006-01-31 |
1225021702 | Brian Snell | Neurological Surgery | 4120 W Memorial Rd, Suite 300, Oklahoma City, OK 73120-9320 | 2005-08-30 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73106 |
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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.