Organization · Type 2 NPI

Saint Medical Group, LLC

Nurse Practitioner · Sappington, MO

NPI number 1851971550 Active

Practice location

30 Ronnies Plz
Sappington, MO 63126-3552

Fax (314) 989-6608

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Nurse Practitioner Primary	363L00000X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

14 other providers at this address

NPI record

NPI: 1851971550
Entity type: Organization (Type 2)
Issued: Apr 8, 2021
Last updated: Apr 8, 2021
Status: Active
Subpart: Yes of SSM Health Care of Oklahoma, Inc.

Other names

SSM Health Medical Group On Demand · doing business as

Authorized official

Crystal L Pena
Provider 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 1851971550

Saint Medical Group, LLC's National Provider Identifier is 1851971550, issued on Apr 8, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sappington, MO. The record was last updated on Apr 8, 2021.