SSM HEALTH CARE OF OKLAHOMA, INC (NPI# 1740730720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740730720 |
| Entity Type | Organization |
| Organization Name | SSM HEALTH CARE OF OKLAHOMA, INC |
| Other Organization Name | ST ANTHONY PHYSICIANS ENDOCRINOLOGY ASSOCIATES |
| Practice Address |
1111 N Lee Ave Suite 300 Oklahoma City OK 73103-2600 |
| Practice Telephone | 4052318740 |
| Practice Fax Number | 4052318714 |
| Mailing Telephone | 4052318740 |
| Mailing Fax Number | 4052318714 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |
| 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 | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Anthony Physicians Endocrinology Associates | 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 |
| 1457894941 | Ssm Health Care of Oklahoma, Inc | Internal Medicine | 305 S 5th St, Enid, OK 73701-5832 | 2016-12-01 |
| 1891245882 | Ssm Health Care of Oklahoma, Inc | Family Medicine | 3400 S Douglas Blvd, Suite 301, Oklahoma City, OK 73150-1001 | 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 |
1111 N LEE AVE SUITE 300 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73103-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841271749 | Robert D Evans | Anesthesiology | 1111 N Lee Ave, Suite 236, Oklahoma City, OK 73103-2620 | 2005-11-08 |
| 1770106619 | Hannah Holasek | Physician Assistant | 1111 N Lee Ave, Oklahoma City, OK 73103-2600 | 2020-05-27 |
| 1699276402 | Nicole Ida Harris | Nurse Practitioner | 1111 N Lee Ave, Oklahoma City, OK 73103-2600 | 2018-02-27 |
| 1659829539 | Jessy John | Nurse Practitioner | 1111 N Lee Ave, Suite 249, Oklahoma City, OK 73103-2600 | 2016-09-20 |
| 1942691175 | Rheumatic Diseases Clinic of Oklahoma, Pllc | Specialist | 1111 N Lee Ave, Suite 249, Oklahoma City, OK 73103-2600 | 2015-02-10 |
| 1295130300 | Well Again Mht LLC | Nurse Practitioner | 1111 N Lee Ave, Suite 310, Oklahoma City, OK 73103-2600 | 2014-10-31 |
| 1326474677 | Well Again Medical Care, Pllc | Family Medicine | 1111 N Lee Ave, Ste 310, Oklahoma City, OK 73103-2600 | 2013-09-18 |
| 1801160841 | Inner Peace Pastoral Counseling, Pllc | Counselor | 1111 N Lee Ave, Suite 101, Oklahoma City, OK 73103-2600 | 2012-03-07 |
| 1902186984 | Saints Medical Group, LLC | Internal Medicine | 1111 N Lee Ave, Suite 334, Oklahoma City, OK 73103-2600 | 2011-08-23 |
| 1730339383 | Saints Medical Group LLC | Orthopaedic Surgery | 1111 N Lee Ave, Suite 334, Oklahoma City, OK 73103-2600 | 2008-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
| 1801321369 | Jessica Reed | Community Health Worker | 432 Nw11th St, Oklahoma City, OK 73103 | 2017-04-21 |
| 1982070975 | Retinal Care Diagnostics LLC | Ophthalmology | 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 | 2015-08-13 |
| 1316329063 | Nurturing Positive Solutions | Marriage & Family Therapist | 307 N. W. 21st Street, Oklahoma City, OK 73103 | 2015-06-18 |
| 1871916700 | Good Shepherd Ministries | Clinic/Center | 222 Nw 12th Street, Oklahoma City, OK 73103 | 2014-01-29 |
| 1275973448 | Christine Donnette Jeffers | Case Manager/Care Coordinator | 433 Nw 25 #10, Oklahoma, OK 73103 | 2013-07-02 |
| 1629327358 | Kelly Rose Whelan | Social Worker | 416 Nw 23rd St, Oklahoma City, OK 73103 | 2012-09-10 |
| 1801160585 | Susan Elizabeth Bigbie | Registered Nurse | 1214 N Hudson, Oklahoma City, OK 73103 | 2012-02-28 |
| 1548533441 | Doris Gayle Poteet | Licensed Practical Nurse | 1214 N. Hudson, Oklahoma, OK 73103 | 2012-02-23 |
| 1538440698 | Wendi J Rollins | Case Manager/Care Coordinator | 600 Nw 23, Suite 108, Oklahoma City, OK 73103 | 2011-09-02 |
| Find all providers in zip 73103 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1457606113 | Perihan Dimachkie | Internal Medicine | 4221 S Western Ave Ste 5045, Oklahoma City, OK 73109-3450 | 2012-07-18 |
| 1487965976 | Myrto Eliades | Internal Medicine | 3433 Nw 56th St Ste 710, Oklahoma City, OK 73112-4430 | 2010-06-29 |
| 1598813016 | Venkataraman Kalyanaraman | Internal Medicine | 920 Stanton L Young Blvd # 1345, Oklahoma City, OK 73104-5020 | 2007-01-08 |
| 1124138680 | Bassam Arodak | Internal Medicine | 5701 N Portland Ave Ste 220, Oklahoma City, OK 73112-1670 | 2006-08-30 |
| 1346272523 | Modhi Gude | Internal Medicine | 6001 Nw 120th Court, Ste 6, Oklahoma City, OK 73162 | 2006-07-07 |
| 1659844587 | Saints Medical Group, LLC | Internal Medicine | 6205 N Santa Fe Ave Ste 200, Oklahoma City, OK 73118-7536 | 2019-01-03 |
| 1366952004 | Saints Medical Group, LLC | Internal Medicine | 3400 S Douglas Blvd Ste 305, Oklahoma City, OK 73150-1018 | 2017-10-09 |
| 1669903985 | Nabeela Shakir | Internal Medicine | 1000 N Lincoln Blvd Ste 2900, Oklahoma City, OK 73104-3252 | 2017-03-27 |
| 1356716435 | St Anthony Physicians Thyroid Center | Internal Medicine | 13401 N Western Ave, Suite 407, Oklahoma City, OK 73114-1408 | 2015-12-01 |
| 1528444379 | Avinash Ravipati | Internal Medicine | 1000 N Lincoln Blvd Ste 2900, Oklahoma City, OK 73104 | 2015-08-04 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73103 |
Please comment or provide details below to improve the information on SSM HEALTH CARE OF OKLAHOMA, INC.
| 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.