SAINT MEDICAL GROUP, LLC - NPI 1013506997 - Otolaryngology in Oklahoma City, OK

Q: What is Saint Medical Group, LLC's NPI number?

The NPI number for Saint Medical Group, LLC is 1013506997. It was assigned to this organization in the NPPES registry on January 14, 2021. The provider is doing business as SSM Health Medical Group Otology.

Q: What is Saint Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

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About Saint Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAINT MEDICAL GROUP, LLC (NPI 1013506997), doing business as Ssm Health Medical Group Otology, is a healthcare organization registered as an otology & neurotology in Oklahoma City, Oklahoma and active in the NPI registry since January 2021. The organization lists Crystal L Pena, Provider Enrollment Coordinator, as its authorized official.

NPPES Registry Identity

NPI1013506997

Entity TypeOrganization

Primary Taxonomy207YX0901X

Legal Business NameSAINT MEDICAL GROUP, LLC

Location Address3400 NW 56TH STOklahoma City, OK 73112-4463

Mailing Address3400 Nw 56th StOklahoma City, OK 73112-4463 · (405) 946-5563 · Fax (405) 947-6226

Phone(405) 946-5563

Fax(405) 947-6226

Organization SubpartYesParent: Ssm Health Care Of Oklahoma, Inc

Authorized OfficialCrystal L PenaProvider Enrollment Coordinator · (405) 272-7452

Enumeration DateJanuary 14, 2021

NPPES CertifiedJanuary 14, 2021

✔ NPI 1013506997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians

Taxonomy Code207YX0901X

Definition

An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.

Also ListedAudiologistTaxonomy 231H00000X

3400 NW 56TH ST, Oklahoma City, OK 73112

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Other Names 1

Doing Business AsSsm Health Medical Group Otology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL Y. DEPP AU.D.

Audiologist

3400 NW 56TH ST, SUITE G-1
OKLAHOMA CITY, OK 73112

Oklahoma County (405) 949-1906

RICHARD D. KOPKE M.D.

Otolaryngology (Otology & Neurotology)