SSM HEALTH HARRAH AMBULATORY CARE – NPI #1457540015
Family Medicine

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.

SSM HEALTH HARRAH AMBULATORY CARE is a provider located in HARRAH, OK. NPPES has assigned the NPI number 1457540015 to SSM HEALTH HARRAH AMBULATORY CARE on October 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SSM HEALTH HARRAH AMBULATORY CARE” is a dba name, the actual legal business name for this organization is SAINT MEDICAL GROUP, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Mar 22, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SSM HEALTH HARRAH AMBULATORY CARE below.

NPI Profile for
SAINT MEDICAL GROUP, LLC

NPI Number
1457540015
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAINT MEDICAL GROUP, LLC
Doing Business As (dba): SSM HEALTH HARRAH AMBULATORY CARE
Primary location
18961 NE 23RD STREET
HARRAH, OK 73045
Phone: (405) 772-4650 Fax: (405) 772-4653
Mailing address
Same as primary location
Organization Subpart
Yes - SSM HEALTH HARRAH AMBULATORY CARE is subpart of another organization.
Authorized Official
CRYSTAL PENA
PROVIDER ENROLLMENT
Phone: (405) 272-7452
Updated
Certification Date
Mar 09, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.