SSM HEALTHCARE OF OKLAHOMA, INC (NPI# 1639478753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639478753 |
| Entity Type | Organization |
| Organization Name | SSM HEALTHCARE OF OKLAHOMA, INC |
| Other Organization Name | ST ANTHONY CARDIOVASCULAR CARE |
| Practice Address |
608 Nw 9th St Suite 4106 Oklahoma City OK 73102-1068 |
| Mailing Address |
1000 N Lee Ave Oklahoma City OK 73102-1036 |
| Practice Telephone | 4052728499 |
| Practice Fax Number | 4052727937 |
| Mailing Telephone | 4052727000 |
| Mailing Fax Number | 4952726477 |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-07-07 |
| Authorized Official Name | CHRIS D HOWARD (PRESIDENT) |
| Authorized Official Telephone | 4052727279 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM HEALTHCARE OF OKLAHOMA, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Anthony Cardiovascular Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659886893 | Ssm Healthcare of Oklahoma, Inc | Internal Medicine | 1614 Professional Cir, Yukon, OK 73099-6314 | 2017-12-11 |
| 1467967604 | Ssm Healthcare of Oklahoma, Inc | Internal Medicine | 9 N Bryant Ave, Edmond, OK 73034-6307 | 2017-12-11 |
| 1093125072 | Ssm Healthcare of Oklahoma, Inc | Internal Medicine | 608 Nw 9th St, Suite 3206, Oklahoma City, OK 73102-1068 | 2014-04-30 |
| 1033408497 | Ssm Healthcare of Oklahoma, Inc | Surgery | 608 Nw 9th St, Suite 5204, Oklahoma City, OK 73102-1068 | 2011-04-06 |
| 1942599303 | Ssm Healthcare of Oklahoma, Inc | Internal Medicine | 608 Nw 9th St, Suite 3110, Oklahoma City, OK 73102-1068 | 2011-04-06 |
| 1710283189 | Ssm Healthcare of Oklahoma, Inc | Surgery | 535 Nw 9th St, Suite 205, Oklahoma City, OK 73102-1070 | 2011-02-02 |
| Street Address |
608 NW 9TH ST SUITE 4106 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73102-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083618003 | Keith John Kassabian | Internal Medicine | 608 Nw 9th St, Suite 2200, Oklahoma City, OK 73102-1068 | 2005-06-08 |
| 1417578725 | Olufolake Olufowote | Student in an Organized Health Care Education/Training Program | 608 Nw 9th St, Oklahoma City, OK 73102-1068 | 2020-04-28 |
| 1174152680 | Lan-uyen Trang Stephanie Nguyen | Student in an Organized Health Care Education/Training Program | 608 Nw 9th St, Oklahoma City, OK 73102-1068 | 2020-04-06 |
| 1548824345 | John Bradley Schoonover Jr. | Student in an Organized Health Care Education/Training Program | 608 Nw 9th St, Oklahoma City, OK 73102-1068 | 2019-04-26 |
| 1992292841 | Jessnie Jose | Student in an Organized Health Care Education/Training Program | 608 Nw 9th St, Oklahoma City, OK 73102-1068 | 2018-04-17 |
| 1972036168 | Nathan Blake John | Family Medicine | 608 Nw 9th St, Suite 1000, Oklahoma City, OK 73102-1068 | 2017-04-05 |
| 1346771250 | Robert Paul Antosh | Family Medicine | 608 Nw 9th St, Suite 1100, Oklahoma City, OK 73102-1068 | 2017-03-22 |
| 1811447899 | Saints Medical Group, LLC | Internal Medicine | 608 Nw 9th St, Suite 5000, Oklahoma City, OK 73102-1068 | 2016-10-13 |
| 1760834089 | Lisa Snider | Pharmacist | 608 Nw 9th St, Suite 3200, Oklahoma City, OK 73102-1068 | 2016-07-11 |
| 1548612922 | Roshini Ann Samuel | Family Medicine | 608 Nw 9th St, Suite 1000, Oklahoma City, OK 73102-1068 | 2016-07-08 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730790148 | Epic Heart Health | Internal Medicine | 1211 N Shartel Ave Ste 1005, Oklahoma City, OK 73103-2433 | 2020-08-11 |
| 1316469109 | Razan Ali Mohamed Elsayed | Internal Medicine | 800 Stanton L Young Blvd # 5481, Oklahoma City, OK 73104-5018 | 2017-07-12 |
| 1225201718 | Christian Cardiovascular Institute PC | Internal Medicine | 3300 Nw 56th Street, Suite 200, Oklahoma City, OK 73112-4401 | 2008-04-07 |
| 1780887398 | Shafeek Sandy Sanbar | Internal Medicine | 8100 Glenwood Ave, Oklahoma City, OK 73114-1108 | 2007-06-09 |
| 1770623068 | Faisal Latif | Internal Medicine | 825 Ne 10th St Ste 2500, Oklahoma City, OK 73104-5417 | 2007-02-07 |
| 1174558597 | Iftikhar Ahmad | Internal Medicine | 608 Nw 9th Street, Suite 2200, Oklahoma City, OK 73102 | 2006-07-12 |
| 1033176524 | Terrance Khastgir | Internal Medicine | 3433 Nw 56th St Ste 660, Oklahoma City, OK 73112-4449 | 2006-04-27 |
| 1568453835 | Dwayne A Schmidt | Internal Medicine | 3200 Quail Springs Parkway, Ste. 200, Oklahoma City, OK 73134 | 2005-11-04 |
| 1952399024 | Sandeep Chopra | Internal Medicine | 4120 N Classen Blvd, Suite 100, Oklahoma City, OK 73118-2422 | 2005-10-12 |
| 1932196839 | Gregory B Vanzant | Internal Medicine | 4200 W Memorial Rd Ste 410, Oklahoma City, OK 73120-8305 | 2005-10-05 |
| Find all providers in OKLAHOMA CITY | ||||
| 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.