SSM HEALTH CARE OF OKLAHOMA INC (NPI# 1871012955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871012955 |
| Entity Type | Organization |
| Organization Name | SSM HEALTH CARE OF OKLAHOMA INC |
| Other Organization Name | ST ANTHONY PHYSICIANS HEALTH PLEX EAST SPECIALTY CLINIC |
| Practice Address |
3400 S Douglas Blvd Ste 305 Oklahoma City OK 73150-1018 |
| Practice Telephone | (405) 272-2870 |
| Mailing Telephone | 4052722870 |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2017-09-11 |
| Authorized Official Name | CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 4052727452 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | OK | Allopathic & Osteopathic Physicians | |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
OK | Allopathic & Osteopathic Physicians | |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
OK | Allopathic & Osteopathic Physicians | |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Anthony Physicians Health Plex East Specialty Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114430022 | Ssm Health Care of Oklahoma Inc | Internal Medicine | 3525 Nw 56th St Ste 100d, Oklahoma City, OK 73112-4549 | 2017-11-14 |
| 1639689375 | Ssm Health Care of Oklahoma Inc | Social Worker | 608 Nw 9th St Ste 1100, Oklahoma City, OK 73102-1015 | 2017-10-09 |
| 1013314301 | Ssm Health Care of Oklahoma Inc | Internal Medicine | 6201 N Santa Fe Ave, Suite 1010, Oklahoma City, OK 73118-7538 | 2014-12-02 |
| 1316354814 | Ssm Health Care of Oklahoma Inc | Pharmacy | 3400 S Douglas Blvd, Oklahoma City, OK 73150-1001 | 2014-07-16 |
| 1649602293 | Ssm Health Care of Oklahoma Inc | Pharmacy | 608 Nw 9th St, Suite 3200, Oklahoma City, OK 73102 | 2013-08-06 |
| 1942469887 | Ssm Health Care of Oklahoma Inc | Physician Assistant | 1111 N Lee Ave, Suite 334, Oklahoma City, OK 73103-2600 | 2008-06-05 |
| 1013196831 | Ssm Health Care of Oklahoma Inc | Internal Medicine | 6201 N Santa Fe Ave, Suite 2020, Oklahoma City, OK 73118-7538 | 2007-10-29 |
| 1457540015 | Ssm Health Care of Oklahoma Inc | Family Medicine | 15679 Ne 23rd St, Choctaw, OK 73020-8592 | 2007-10-19 |
| 1306977749 | Ssm Health Care of Oklahoma Inc | Internal Medicine | 1000 N Lee Ave, Suite 1921, Oklahoma City, OK 73102-1036 | 2007-03-08 |
| 1487677456 | Ssm Health Care of Oklahoma Inc | Psychologist | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2006-07-25 |
| Street Address |
3400 S DOUGLAS BLVD STE 305 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73150-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366952004 | Saints Medical Group, LLC | Internal Medicine | 3400 S Douglas Blvd Ste 305, Oklahoma City, OK 73150-1018 | 2017-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386069227 | Joan Lynn Miller | Nurse Practitioner | Tinker Air Force Base, 72nd Medical Group Building 1094, Air Depot Blvd, Fpo, AA 73150 | 2014-03-02 |
| 1942281027 | Larry Todd Olsen | Orthopaedic Surgery | 3400 S Douglas Blvd, 302, Oklahoma City, OK 73150 | 2005-11-07 |
| 1437141793 | Paul L Preslar | Family Medicine | 3400 S Douglas Blvd Ste 200, Oklahoma City, OK 73150 | 2005-08-22 |
| 1871862334 | Ssm Healthcare of Ok, Inc | Family Medicine | 3400 S Douglas Blvd, Oklahoma City, OK 73150 | 2011-12-29 |
| 1235129099 | Richard D Hanes | Physician Assistant | 1000 Kingfisher Hospital Drive, Kingfisher, OK 73150-0059 | 2005-10-24 |
| 1437774874 | Saints Medical Group, LLC | Physical Medicine & Rehabilitation | 3400 S Douglas Blvd Ste 306, Oklahoma City, OK 73150-1001 | 2020-06-11 |
| 1457972366 | Saint Medical Group, LLC | Pediatrics | 3400 S Douglas Blvd Ste 307a, Oklahoma City, OK 73150-1001 | 2020-05-01 |
| 1295363620 | Saint Medical Group, LLC | Family Medicine | 3400 S Douglas Blvd Ste 307, Oklahoma City, OK 73150-1001 | 2020-03-31 |
| 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 |
| Find all providers in zip 73150 | ||||
| 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 | 73150 |
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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.