SPECIALTY CLINICS OF ST ANNE PLLC
NPI 1356360473
Internal Medicine in Guymon, OK

Active since July 19, 2006CLIA 37D0960643 · Accreditation
350 NE 12TH ST, GUYMON, OK 73942(580) 338-8700(580) 338-8600 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Specialty Clinics Of St Anne Pllc NPPES

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

SPECIALTY CLINICS OF ST ANNE PLLC (NPI 1356360473) is a healthcare organization registered as an internal medicine in Guymon, Oklahoma and active in the NPI registry since July 2006. The organization holds an CLIA Accreditation certificate valid through September 3, 2027 and lists Martin Bautista, Md, as its authorized official.

NPPES Registry Identity

NPI1356360473
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSPECIALTY CLINICS OF ST ANNE PLLC
Location Address350 NE 12TH STGuymon, OK 73942-3624
Mailing Address350 Ne 12th StGuymon, OK 73942-3624 · (580) 338-8700 · Fax (580) 338-8600
Fax(580) 338-8600
Organization SubpartNo
Authorized OfficialMartin BautistaMd · (580) 338-8700
Enumeration DateJuly 19, 2006
Last NPPES UpdateFebruary 3, 2015
NPI 1356360473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in OK · 19756 Licensed in OK · 19772
Definition
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 26523 (OK)
350 NE 12TH ST, Guymon, OK 73942

Other Identifiers 2

Medicare ID-Type Unspecified400522085OK
Medicaid100748490AOK

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 37D0960643

Specialty Clinics Of St Anne · Guymon, OK
Active · expires Sep 3, 2027
CLIA Number37D0960643
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2025
Certificate Expiration DateSeptember 3, 2027
Laboratory DirectorMartin Bautista
Laboratory Phone(580) 338-8700
Laboratory LocationSpecialty Clinics Of St Anne350 NE 12th Street, Guymon, OK 73942
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 4

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

Radiology (Diagnostic Radiology)
350 NE 12TH ST
GUYMON, OK 73942
Radiology (Diagnostic Radiology)
350 NE 12TH ST
GUYMON, OK 73942
Internal Medicine
350 NE 12TH ST
GUYMON, OK 73942
Internal Medicine
350 NE 12TH ST
GUYMON, OK 73942

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Specialty Clinics Of St Anne PLLC's NPI number?

The NPI number for Specialty Clinics Of St Anne PLLC is 1356360473. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Specialty Clinics Of St Anne PLLC located?

Specialty Clinics Of St Anne PLLC is located at 350 NE 12th St, Guymon, OK 73942. The listed phone number is (580) 338-8700.

What is Specialty Clinics Of St Anne PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Specialty Clinics Of St Anne PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 37D0960643) is associated with this NPI, valid through September 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Specialty Clinics Of St Anne PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Specialty Clinics Of St Anne PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Specialty Clinics Of St Anne PLLC was last updated on February 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.