Organization · Type 2 NPI

Saint Medical Group, LLC

Family Medicine Physician · Oklahoma City, OK

NPI number 1346824679 Active

Practice location

1212 S Douglas Blvd
Oklahoma City, OK 73130-5246

Fax (405) 736-6863

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Multi-Specialty Clinic/Center	261QM1300X	None listed
Physician Assistant	363A00000X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9 other providers at this address

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NPI record

NPI: 1346824679
Entity type: Organization (Type 2)
Issued: May 12, 2021
Last updated: May 12, 2021
Status: Active
Subpart: Yes of SSM Health Care of Oklahoma, Inc.

Other names

SSM Health Medical Group Family Medicine Douglas · doing business as

Authorized official

Crystal L Pena
Provider Enrollment Coordinator
(405) 272-7452

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346824679

Saint Medical Group, LLC's National Provider Identifier is 1346824679, issued on May 12, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Oklahoma City, OK. The record was last updated on May 12, 2021.