SSM HEALTH CARE OF OKLAHOMA, INC (NPI# 1457894941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457894941 |
Entity Type | Organization |
Organization Name | SSM HEALTH CARE OF OKLAHOMA, INC |
Other Organization Name | ST ANTHONY HEMATOLOGY/ONCOLOGY ENID |
Practice Address |
305 S 5th St Enid OK 73701-5832 |
Practice Telephone | 5802495504 |
Practice Fax Number | 5802345933 |
Mailing Telephone | 5802495504 |
Mailing Fax Number | 5802345933 |
Enumeration Date | 2016-12-01 |
Last Update Date | 2016-12-22 |
Authorized Official Name | CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST) |
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 |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
St Anthony Hematology/Oncology Enid | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326555434 | Ssm Health Care of Oklahoma, Inc | Internal Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2018-01-10 |
1891245882 | Ssm Health Care of Oklahoma, Inc | Family Medicine | 3400 S Douglas Blvd, Suite 301, Oklahoma City, OK 73150-1001 | 2016-10-13 |
1740730720 | Ssm Health Care of Oklahoma, Inc | Internal Medicine | 1111 N Lee Ave, Suite 300, Oklahoma City, OK 73103-2600 | 2016-10-13 |
1811442197 | Ssm Health Care of Oklahoma, Inc | Pharmacy | 3400 S Douglas Blvd, Suite 100, Oklahoma City, OK 73150-1001 | 2016-08-17 |
1316345531 | Ssm Health Care of Oklahoma, Inc | Family Medicine | 6201 N Santa Fe Ave, Suite 1010, Oklahoma City, OK 73118-7538 | 2014-12-22 |
1336546621 | Ssm Health Care of Oklahoma, Inc | Surgery | 535 Nw 9th St, Suite 100, Oklahoma City, OK 73102-1070 | 2014-12-02 |
1598168635 | Ssm Health Care of Oklahoma, Inc | Psychologist | 608 Nw 9th St, Suite 1100, Oklahoma City, OK 73102-1068 | 2014-10-03 |
1437561180 | Ssm Health Care of Oklahoma, Inc | Psychiatry & Neurology | 333 Central Park W, Suite 36, New York, NY 10025-7145 | 2014-05-29 |
1801190061 | Ssm Health Care of Oklahoma, Inc | Family Medicine | 6908 E Reno Ave, Building 1, Midwest City, OK 73110-2128 | 2011-01-03 |
1184723678 | Ssm Health Care of Oklahoma, Inc | Psychiatry & Neurology | 2129 Sw 59th St, Oklahoma City, OK 73119-7024 | 2006-09-21 |
Street Address |
305 S 5TH ST |
City | ENID |
State | OK |
Zip Code | 73701-5832 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417947466 | Uhs of Oklahoma, LLC | Psychiatric Unit | 305 S 5th St, Enid, OK 73701-5832 | 2005-10-21 |
1942814033 | Kelly Ray Earhart | Pharmacist | 305 S 5th St, Enid, OK 73701-5832 | 2020-09-04 |
1518510296 | Uhs of Oklahoma, LLC | Psychiatric Unit | 305 S 5th St, Enid, OK 73701-5832 | 2019-07-22 |
1255839031 | Rebekah Dianne Cutler | Physician Assistant | 305 S 5th St, Enid, OK 73701-5832 | 2018-01-26 |
1073047148 | Sarah White | Speech-Language Pathologist | 305 S 5th St, Enid, OK 73701-5832 | 2017-04-17 |
1801203021 | Carolina Wales | Emergency Medicine | 305 S 5th St, Enid, OK 73701-5832 | 2014-07-21 |
1316357742 | Sarah K. Miller, Pllc | Clinical Neuropsychologist | 305 S 5th St, 5th Floor, Enid, OK 73701 | 2014-05-07 |
1902234057 | Purple Martin Anesthesia LLC | Nurse Anesthetist, Certified Registered | 305 S 5th St, Enid, OK 73701-5832 | 2013-10-29 |
1770822876 | Oklahoma Em-1 Medical Services, Pa | Physician Assistant | 305 S 5th St, Enid, OK 73701-5832 | 2013-02-08 |
1467706200 | St. Mary's Regional Medical Center | General Acute Care Hospital | 305 S 5th St, Enid, OK 73701-5832 | 2012-11-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407318595 | Sheila Watkins | Speech-Language Pathologist | 401 S. 3rd St, Physical Therapy, Enid, OK 73701 | 2019-04-05 |
1225548993 | Mirannda Lea Shourek | Case Manager/Care Coordinator | 3225 E Randolph, Apt 5a, Enid, OK 73701 | 2017-10-06 |
1962942045 | Nicole Elisibeth Hood | Social Worker | 605 W. Oxford St, Enid, OK 73701 | 2017-03-08 |
1689027237 | Amanda Partridge | Physician Assistant | 231 S. 30th St., Enid, OK 73701 | 2016-07-19 |
1134576952 | Keli Lanee Caffey | Counselor | 317 W. Cherokee Suite B, Enid, OK 73701 | 2016-05-22 |
1447670559 | Tamica Webster | Counselor | 1137 Hillside Dr, Enid, OK 73701 | 2014-04-16 |
1881024024 | Misty Ward | Registered Nurse | 600 S. Monroe, Enid, OK 73701 | 2013-11-26 |
1164856944 | Pharmcareok of Enid, Inc. | Pharmacy | 1119a E Owen Garriott Rd, Enid, OK 73701 | 2013-08-28 |
1922383421 | Bobby Doyle Taylor | Pharmacist | 902 West Garriott, Enid, OK 73701 | 2011-10-15 |
1194009324 | Stacia Paul | Counselor | 121 W. Maple, Enid, OK 73701 | 2011-10-06 |
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Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851615918 | Oklahoma Oncology and Hematology, P.C. | Internal Medicine | 1220 W Willow Rd Ste A, Enid, OK 73703-2529 | 2010-03-18 |
1437244423 | Francisco H Dexeus M D Inc | Internal Medicine | 825 E Garriott, Enid, OK 73701-5928 | 2006-10-04 |
1578589305 | Francisco Huguet Dexeus | Internal Medicine | 825 East Owen K Garriott Rd, Enid, OK 73701-5928 | 2006-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548725302 | Saint Medical Group, LLC | Internal Medicine | 3525 Nw 56th St Ste 150c, Oklahoma City, OK 73112-4516 | 2019-02-06 |
1659886893 | Ssm Healthcare of Oklahoma, Inc | Internal Medicine | 1614 Professional Cir, Yukon, OK 73099-6314 | 2017-12-11 |
1114430022 | Ssm Health Care of Oklahoma Inc | Internal Medicine | 3525 Nw 56th St Ste 100d, Oklahoma City, OK 73112-4549 | 2017-11-14 |
1821528662 | Cancer Centers of Southwest Oklahoma, LLC | Internal Medicine | 210 South Mary Bailey Drive, Chickasha, OK 73018 | 2017-06-14 |
1730403882 | Oklahoma Oncology and Hematology, P.C. | Internal Medicine | 1810 E 15th St, Tulsa, OK 74104-4611 | 2010-03-18 |
1902137540 | Hassan Hatoum | Internal Medicine | 800 Ne 10th St. Okcc 2001-6, Stephenson Cancer Center//university of Oklahoma Health, Oklahoma City, OK 73104 | 2010-01-21 |
1235397654 | Agnel Rajani Raparthi | Internal Medicine | 800 Ne 10th St # 6071, Oklahoma City, OK 73104-5418 | 2008-06-02 |
1225229461 | Roseleen Sadruddin Charania | Internal Medicine | 1227 E 9th St, Edmond, OK 73034-5708 | 2007-08-05 |
1629282389 | Christopher Mark Manus | Internal Medicine | 3470 E Frank Phillips Blvd, Bartlesville, OK 74006-2406 | 2007-05-10 |
1760534127 | Carla Kurkjian | Internal Medicine | 4401 Mcauley Blvd, Suite 2700, Oklahoma City, OK 73120-8341 | 2007-01-17 |
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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.