SAINTS MEDICAL GROUP LLC (NPI# 1770845729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770845729 |
| Entity Type | Organization |
| Organization Name | SAINTS MEDICAL GROUP LLC |
| Other Organization Name | SAINTS DERMATOLOGY NORTH |
| Practice Address |
13128 N Macarthur Blvd Oklahoma City OK 73142-3017 |
| Practice Telephone | 4052727044 |
| Practice Fax Number | 4052727049 |
| Mailing Telephone | 4052727044 |
| Mailing Fax Number | 4052727049 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |
| Authorized Official Name | CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 4052727452 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM HEALTHCARE OF OK, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 26344 | OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Saints Dermatology North | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073954608 | Saints Medical Group LLC | Family Medicine | 3700 W Robinson St, Suite 108, Norman, OK 73072-3659 | 2013-07-11 |
| 1881000941 | Saints Medical Group LLC | Surgery | 608 Nw 9th St, Suite 5010, Oklahoma City, OK 73102-1068 | 2014-07-09 |
| 1174955363 | Saints Medical Group LLC | Family Medicine | 13128 N Macarthur Blvd, Oklahoma City, OK 73142-3017 | 2013-07-30 |
| 1730339383 | Saints Medical Group LLC | Orthopaedic Surgery | 1111 N Lee Ave, Suite 334, Oklahoma City, OK 73103-2600 | 2008-09-19 |
| Street Address |
13128 N MACARTHUR BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73142-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932572120 | Brou Enterprises LLC | Surgery | 13128 N Macarthur Blvd, Oklahoma City, OK 73142-3017 | 2015-11-10 |
| 1366860272 | Briana Spires | Physician Assistant | 13128 N Macarthur Blvd, Oklahoma City, OK 73142-3017 | 2014-03-29 |
| 1174955363 | Saints Medical Group LLC | Family Medicine | 13128 N Macarthur Blvd, Oklahoma City, OK 73142-3017 | 2013-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184003790 | Advance Physicians Group LLC | Clinic/Center | 13401 N Macarthur Blvd, Oklahoma City, OK 73142 | 2015-05-28 |
| 1366840084 | Lindsey Jackson | Case Manager/Care Coordinator | 12051 Parkland Pl, Oklahoma City, OK 73142 | 2014-12-11 |
| 1164866737 | Vitality Wellness | Clinic/Center | 5740 Nw 135th St., Oklahoma City, OK 73142 | 2013-04-25 |
| 1356694558 | Joel Mitchell Sprinkle | Community Health Worker | 13100 Brandon Pl, Oklahoma City, OK 73142 | 2012-10-25 |
| 1689923856 | Sampson Mcsidney | Case Management | 14717 Hollyhock Dr, Oklahoma City, OK 73142 | 2012-09-04 |
| 1992087860 | Derek Reed Mccarver | Pharmacist | 1400 E. 2nd St, Edmond, OK 73142 | 2011-09-15 |
| 1326335811 | Laser Spine Surgery Center of Oklahoma, LLC | Clinic/Center | 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 | 2011-07-05 |
| 1215220801 | James Kenneth Fisher | Psychologist | 12522 Abbotts Way, Oklahoma City, OK 73142 | 2011-05-16 |
| 1174850408 | Diagnostic Laboratory of Oklahoma, LLC | Clinical Medical Laboratory | 5911 West Memorial Road, Oklahoma City, OK 73142 | 2009-11-06 |
| 1417113275 | Reuben Seth Thomas | Optometrist | 6200 W Memorial Rd Ste A, Oklahoma City, OK 73142 | 2008-07-31 |
| Find all providers in zip 73142 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205320579 | Leslie Rainbolt | Dermatology | 6821 Nw Grand Blvd, Oklahoma City, OK 73116-5413 | 2018-06-19 |
| 1871012955 | Ssm Health Care of Oklahoma Inc | Dermatology | 3400 S Douglas Blvd Ste 305, Oklahoma City, OK 73150-1018 | 2017-09-11 |
| 1962869313 | Paige Elizabeth Beverly | Dermatology | 13100 N Western Ave Ste 301, Oklahoma City, OK 73114-1432 | 2016-01-15 |
| 1720325533 | Saints Medical Group, LLC | Dermatology | 9720 Broadway Extension, Oklahoma City, OK 73114 | 2013-01-14 |
| 1285954305 | Yaohan Lam | Dermatology | 2201 Sw 119th St Ste A, Oklahoma City, OK 73170-3438 | 2010-06-11 |
| 1407180748 | Skin Surgery Center of Oklahoma, P.C. | Dermatology | 5701 N Portland Ave Ste 301, Oklahoma City, OK 73112-1670 | 2009-09-18 |
| 1356449086 | Otobia Gifty Dimson | Dermatology | 5005 N Pennsylvania Ave Ste 105, Oklahoma City, OK 73112-8886 | 2006-09-20 |
| 1750487880 | Dermatology Clinic Inc A Professional Corp | Dermatology | 5701 N Portland Ave Ste 310, Oklahoma City, OK 73112-1670 | 2006-09-16 |
| 1477564797 | Clarence L Wiley Sr. | Dermatology | 1211 N Shartel Ave Ste 407, Oklahoma City, OK 73103-2425 | 2006-08-11 |
| 1750390886 | Alfred Last | Dermatology | 3435 Nw 56th, Suite 1000, Oklahoma City, OK 73112 | 2006-08-07 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73142 |
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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.