SSM HEALTH CARE OF OKLAHOMA, INC. (NPI# 1437476561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437476561 |
Entity Type | Organization |
Organization Name | SSM HEALTH CARE OF OKLAHOMA, INC. |
Other Organization Name | SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY |
Practice Address |
1000 N Lee Ave Oklahoma City OK 73102 |
Mailing Address |
1000 N Lee Ave Oklahoma City OK 73102-1036 |
Practice Telephone | 4052727000 |
Mailing Telephone | 4052727000 |
Enumeration Date | 2010-04-29 |
Last Update Date | 2018-08-30 |
Authorized Official Name | SHASTA RENE MANUEL (REGIONAL VP - FINANCE) |
Authorized Official Telephone | 4052727279 |
Is Organization Subpart | Y |
Parent Organization Name | SSM HEALTH CARE OF OKLAHOMA, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100699540K | 05 |
Other Name | Type Code |
---|---|
SSM Health St. Anthony Hospital - Oklahoma City | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649593203 | Ssm Health Care of Oklahoma, Inc. | Clinic/Center | 608 Nw 9th St, Suite 1100, Oklahoma City, OK 73102-1068 | 2010-03-10 |
1033283932 | Ssm Health Care of Oklahoma, Inc. | Internal Medicine | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2006-11-20 |
1114025012 | Ssm Health Care of Oklahoma, Inc. | Psychiatric Unit | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2006-09-21 |
1730288663 | Ssm Health Care of Oklahoma, Inc. | Rehabilitation Unit | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2006-09-21 |
1336248269 | Ssm Health Care of Oklahoma, Inc. | Psychiatric Residential Treatment Facility | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2006-09-21 |
1336243377 | Ssm Health Care of Oklahoma, Inc. | Psychiatric Residential Treatment Facility | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2006-09-11 |
1194828608 | Ssm Health Care of Oklahoma, Inc. | Durable Medical Equipment & Medical Supplies | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2006-09-07 |
1366545311 | Ssm Health Care of Oklahoma, Inc. | General Acute Care Hospital | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2006-09-06 |
1396848651 | Ssm Health Care of Oklahoma, Inc. | Dentist | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2006-09-05 |
Street Address |
1000 N LEE AVE |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083619902 | Kevin Jay Mckeown | Anesthesiology | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2005-06-16 |
1912516394 | Katelyn Ann Puryear | Physician Assistant | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2020-07-30 |
1518575406 | Julian Mahan Lowell | Nurse Practitioner | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2020-07-16 |
1730702895 | Michelle Mcnamara | Physician Assistant | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2020-05-24 |
1992345672 | Heather Dawn Smith-kenney | Dietitian, Registered | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2020-01-10 |
1265084693 | Laney T Combs | Nurse Practitioner | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2019-07-16 |
1396307328 | Physician Management Services of Oklahoma II, LLC | Family Medicine | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2019-06-29 |
1770140014 | Deepika Mohan | Pharmacist | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2019-05-22 |
1477029452 | Donna Sue Drew | Registered Nurse | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2018-10-17 |
1497221626 | Mackenzie Borden | Nurse Practitioner | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2018-10-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
1013434117 | Mark Jeffrey Allison I | Case Manager/Care Coordinator | 400 North Walker Avenue, Suite 190, Oklahoma City, OK 73102 | 2017-08-29 |
1770009052 | Christopher Minh Nguyen | Clinical Neuropsychologist | 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 | 2017-08-17 |
1700263928 | Micaela Lupov | Physician Assistant | 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 | 2015-04-27 |
1639577885 | La Fuente Prosthetics | Prosthetic/Orthotic Supplier | 229 N.w. 9th Street, Oklahoma City, OK 73102 | 2014-12-19 |
1518378603 | Whitney Thorne | Surgery | 608 Nw 9th St Ste 2200, Oklahoma City, OK 73102 | 2014-05-12 |
1356680078 | Dustin W Choate | Counselor | 101 Park Ave Ste 1300, Oklahoma City, OK 73102 | 2013-02-01 |
1174889778 | Sailesh Arulkumar | Anesthesiology | 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 | 2012-04-09 |
1790092328 | Stephanie Brill | Counselor | 415 Nw 5th Street, Oklahoma City, OK 73102 | 2010-09-02 |
1205157120 | Mohammad Omar Ramadan | Urology | Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 | 2010-06-15 |
Find all providers in zip 73102 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295131910 | Full Function Rehabilitation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6510 S Western Ave Ste 400, Oklahoma City, OK 73139-1712 | 2014-11-06 |
1295883759 | Rescare Oklahoma, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7508 Melrose Ln, Oklahoma City, OK 73127-5143 | 2007-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598166803 | Mwindaace Davis | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3304 W Galveston Pl, Broken Arrow, OK 74012-3255 | 2014-09-07 |
1467863928 | Independent Nursing | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2113 Ne 2nd St, Moore, OK 73160-8155 | 2014-05-17 |
1760782940 | Lxe Counseling Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 Quail Rd, Lane, OK 74555 | 2010-10-22 |
1386815215 | Cletas Cottage Day Treatment Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 220 South 5th St, Noble, OK 73068 | 2008-03-19 |
1225221195 | Muskogee Assoc. for The Rights of Citizens W/developmental Disabled | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 210 E Okmulgee St, Muskogee, OK 74403-5453 | 2007-08-23 |
1578760609 | Missy Ann Beets | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 115 N Ethel, Picher, OK 74360 | 2007-07-02 |
1609073725 | Vada Arlene Mertens | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 407 16 Blvd Sw, Miami, OK 74354 | 2007-07-02 |
1376740019 | Shanon Elizabeth Paxson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 25322 S 603 Rd, Grove, OK 74344 | 2007-06-27 |
1578760203 | Alice Faye Eaglin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 31850 So 4320 Rd, Big Cabin, OK 74332 | 2007-06-27 |
1912104670 | Lori Fay Oneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 321 West South Ave, Vinita, OK 74301 | 2007-06-27 |
Find all providers with the same taxonomy |
City | OKLAHOMA CITY |
Zip Code | 73102 |
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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.