SAINTS MEDICAL GROUP, LLC (NPI# 1811447899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811447899 |
| Entity Type | Organization |
| Organization Name | SAINTS MEDICAL GROUP, LLC |
| Other Organization Name | SSM HEALTH CARE OF OKLAHOMA, INC |
| Practice Address |
608 Nw 9th St Suite 5000 Oklahoma City OK 73102-1068 |
| Practice Telephone | 4057724400 |
| Practice Fax Number | 4057724401 |
| Mailing Telephone | 4057724400 |
| Mailing Fax Number | 4057724401 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2019-03-25 |
| 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 |
|---|---|---|---|---|---|
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SSM Health Care of Oklahoma, Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1144836206 | Saints Medical Group, LLC | Obstetrics & Gynecology | 5604 Se 67th St, Oklahoma City, OK 73135-1719 | 2020-09-23 |
| 1437774874 | Saints Medical Group, LLC | Physical Medicine & Rehabilitation | 3400 S Douglas Blvd Ste 306, Oklahoma City, OK 73150-1001 | 2020-06-11 |
| 1285138032 | Saints Medical Group, LLC | Dermatology | 1440 N Mustang Road, Mustang, OK 73064-7214 | 2018-03-19 |
| 1720325533 | Saints Medical Group, LLC | Dermatology | 9720 Broadway Extension, Oklahoma City, OK 73114 | 2013-01-14 |
| 1396034047 | Saints Medical Group, LLC | Neurological Surgery | 800 Nw 9th St Ste 201, Oklahoma City, OK 73106-7253 | 2011-04-04 |
| 1235382540 | Saints Medical Group, LLC | Family Medicine | 2002 N Council Ave, Blanchard, OK 73010 | 2008-10-30 |
| 1659528222 | Saints Medical Group, LLC | Family Medicine | 10700 S Penn Ave, Oklahoma City, OK 73170-4206 | 2008-08-26 |
| 1699948646 | Saints Medical Group, LLC | Nurse Practitioner | 7101 Nw 23rd St, Bethany, OK 73008-5159 | 2008-04-10 |
| 1366644577 | Saints Medical Group, LLC | Physician Assistant | 2401 Sw 23rd St, Suite 101, Oklahoma City, OK 73108 | 2007-06-01 |
| Street Address |
608 NW 9TH ST SUITE 5000 |
| 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 |
| 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 |
| 1235588286 | Daniel K Ellis | Family Medicine | 608 Nw 9th St, Ste 1000, Oklahoma City, OK 73102 | 2016-06-10 |
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1417319096 | Abed Madanieh | Internal Medicine | 800 Stanton L Young Blvd # 8400, Oklahoma City, OK 73104-5018 | 2016-03-23 |
| 1689966103 | Anthony Xavier Troitino | Internal Medicine | 3366 Nw Expressway Ste 650, Oklahoma City, OK 73112-4490 | 2011-05-03 |
| 1164654117 | Viral K Doshi | Internal Medicine | 13313 N Meridian Ave Ste D, Oklahoma City, OK 73120-8316 | 2009-08-10 |
| 1518007632 | Saif Ullah Farooq | Internal Medicine | 4221 S Western Ave Ste 4005, Oklahoma City, OK 73109-3436 | 2007-02-07 |
| 1255419115 | Mohammad I Paracha | Internal Medicine | 4221 S Western Ave Ste 2045, Oklahoma City, OK 73109-3445 | 2006-11-01 |
| 1891893657 | Najwa Bahu Baugh | Internal Medicine | 3330 Nw 56th St Ste 208, Oklahoma City, OK 73112-4426 | 2006-09-20 |
| 1922064542 | Norman Kerr Imes | Internal Medicine | 3613 Nw 56 Ste 150, Oklahoma City, OK 73112-4506 | 2006-04-22 |
| 1780651315 | Stacey Lyn Foshee | Internal Medicine | 3048 Sw 89th St Ste B, Oklahoma City, OK 73159-6359 | 2006-03-02 |
| 1619599214 | Anthony X Troitino Md Pllc | Internal Medicine | 3366 Nw Expressway Ste 650, Oklahoma City, OK 73112-4490 | 2020-05-18 |
| 1558909002 | Oklahoma Pulmonary and Critical Care Pllc | Internal Medicine | 3524 Nw 56th St, Oklahoma City, OK 73112-4518 | 2019-12-16 |
| 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.