SSM HEALTHCARE OF OK, INC (NPI# 1912244997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912244997 |
| Entity Type | Organization |
| Organization Name | SSM HEALTHCARE OF OK, INC |
| Other Organization Name | ST ANTHONY PHYSICIANS INTERNAL MEDICINE MIDTOWN |
| Practice Address |
608 Nw 9th St Suite 4106 Oklahoma City OK 73102-1068 |
| Practice Telephone | 4052725433 |
| Practice Fax Number | 4052725435 |
| Mailing Telephone | 4052725433 |
| Mailing Fax Number | 4052725435 |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-01-10 |
| 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 | 207R00000X | Internal Medicine | 27025 | OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Anthony Physicians Internal Medicine Midtown | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780953240 | Ssm Healthcare of Ok, Inc | Family Medicine | 13500 S Tulsa Drive, Oklahoma City, OK 73170 | 2011-12-29 |
| 1063850832 | Ssm Healthcare of Ok, Inc | Internal Medicine | 608 Nw 9th St, Suite 4000, Oklahoma City, OK 73102-1068 | 2013-06-13 |
| 1073853297 | Ssm Healthcare of Ok, Inc | Internal Medicine | 608 Nw 9th St, Suite 6110, Oklahoma City, OK 73102-1068 | 2013-02-25 |
| 1720334675 | Ssm Healthcare of Ok, Inc | Internal Medicine | 608 Nw 9th St, Suite 5000, Oklahoma City, OK 73102-1068 | 2012-07-30 |
| 1154681450 | Ssm Healthcare of Ok, Inc | Internal Medicine | 810 Nw 10th St, Suite A, Oklahoma City, OK 73106-7215 | 2012-05-21 |
| 1043576606 | Ssm Healthcare of Ok, Inc | Internal Medicine | 608 Nw 9th St, Suite 6200, Oklahoma City, OK 73102-1068 | 2012-04-09 |
| 1871862334 | Ssm Healthcare of Ok, Inc | Family Medicine | 3400 S Douglas Blvd, Oklahoma City, OK 73150 | 2011-12-29 |
| 1124300512 | Ssm Healthcare of Ok, Inc | Clinic/Center | 1000 N Lee Ave, 4th Floor, Oklahoma City, OK 73102-1036 | 2011-09-13 |
| 1710272844 | Ssm Healthcare of Ok, Inc | Family Medicine | 8241 S Walker Ave, Suite 100, Oklahoma City, OK 73139-9401 | 2011-06-16 |
| 1336338334 | Ssm Healthcare of Ok, Inc | Obstetrics & Gynecology | 608 Nw 9th St, Suite 5000, Oklahoma City, OK 73102-1068 | 2007-10-16 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1083222038 | Miloni Mukesh Parmar | Internal Medicine | 800 Stanton L Young Blvd Aat 6300, Oklahoma City, OK 73104-5018 | 2020-07-16 |
| 1376181479 | Meraki Wellness Group, LLC | Internal Medicine | 1211 N Shartel Ave Ste 802, Oklahoma City, OK 73103-2425 | 2019-12-19 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1407349442 | Sarah Monther Nimri | Internal Medicine | 1200 Childrens Ave Ste 14046, Oklahoma City, OK 73104-4637 | 2018-06-13 |
| 1003343229 | Jesintha Stephenson | Internal Medicine | 800 Stanton L Young Blvd # 6300, Oklahoma City, OK 73104-5018 | 2017-05-18 |
| 1982149100 | Mary K Mercer | Internal Medicine | 5700 N Portland Ave Ste 102, Oklahoma City, OK 73112-1662 | 2016-12-24 |
| 1285087536 | Isma Nusrat Javed | Internal Medicine | 900 N Stonewall Ave Apt 86, C-20, Oklahoma City, OK 73117-2851 | 2016-07-21 |
| 1740632181 | Samid Muhammad Farooqui | Internal Medicine | 101 Ne 53rd St Apt 1917, Oklahoma City, OK 73105-1847 | 2016-07-11 |
| 1285082891 | Syeda Dania Shujaat | Internal Medicine | 920 Stanton L Young Blvd # Wp2040, Oklahoma City, OK 73104-5036 | 2016-05-25 |
| 1912352162 | Talal Zahoor | Internal Medicine | 505 E Sheridan Ave Apt 2141, Oklahoma City, OK 73104-6718 | 2016-04-25 |
| 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.