SAINTS MEDICAL GROUP, LLC (NPI# 1396343281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396343281 |
| Entity Type | Organization |
| Organization Name | SAINTS MEDICAL GROUP, LLC |
| Practice Address |
13401 N Western Ave Ste 404 Oklahoma City OK 73114-1412 |
| Practice Telephone | 4056084440 |
| Practice Fax Number | 4056073546 |
| Mailing Telephone | 4056084440 |
| Mailing Fax Number | 4056073546 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | CRYSTAL L PENA (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Telephone | 4052727452 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM HEALTH CARE OF OKLAHOMA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
Allopathic & Osteopathic Physicians | ||
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SSM Health Medical Group North ENT | 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 |
| 1366644577 | Saints Medical Group, LLC | Physician Assistant | 2401 Sw 23rd St, Suite 101, Oklahoma City, OK 73108 | 2007-06-01 |
| Street Address |
13401 N WESTERN AVE STE 404 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73114-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942593017 | Stephanie Lynn Gannaway | Audiologist | 13401 N Western Ave Ste 404, Oklahoma City, OK 73114 | 2011-05-24 |
| 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 |
| Find all providers in zip 73114 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871056671 | Perry Santos, M.d., P.C. | Otolaryngology | 3435 Nw 56th St, Bldg A, Suite 412, Oklahoma City, OK 73112-4448 | 2019-04-09 |
| 1598292419 | Vikram Gopal Ramjee | Otolaryngology | 800 Stanton L Young Blvd Ste 1464, Oklahoma City, OK 73104-5018 | 2017-05-23 |
| 1649657263 | Lindsey B Stull | Otolaryngology | 800 Stanton L Young Blvd # 1464, Oklahoma City, OK 73104-5018 | 2015-05-04 |
| 1457768376 | Keren Bartal | Otolaryngology | G. Rainey Williams Pavilion 1290, Oklahoma City, OK 73126 | 2014-07-14 |
| 1518233758 | Edward T El Rassi | Otolaryngology | 800 Stanton L Young Blvd Ste 1400, Oklahoma City, OK 73104 | 2012-03-30 |
| 1386744761 | Jerry D Renfroe | Otolaryngology | 3435 Nw 56, #711a, Oklahoma City, OK 73112 | 2006-09-25 |
| 1023032612 | Oklahoma City Ear, Nose & Throat Clinic, PC | Otolaryngology | 535 Nw 9th Street, Suite 300, Oklahoma City, OK 73102 | 2006-07-27 |
| 1063463669 | Richard D Orgill | Otolaryngology | 10958 N May Ave, Oklahoma City, OK 73120-6202 | 2006-05-16 |
| 1700841145 | Jason Brandt Sigmon | Otolaryngology | 10960 N May Ave, Oklahoma City, OK 73120-6202 | 2006-04-19 |
| 1538121843 | German Paul Digoy | Otolaryngology | 9900 Broadway Ext Ste 200, Oklahoma City, OK 73114-6323 | 2006-04-03 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73114 |
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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.