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SSM HEALTH HARRAH AMBULATORY CARE
NPI 1457540015
Family Medicine in Harrah, OK

Active since October 19, 2007
18961 NE 23RD STREET, HARRAH, OK 73045(405) 772-4650(405) 772-4653 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ssm Health Harrah Ambulatory Care NPPES

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

SSM HEALTH HARRAH AMBULATORY CARE (NPI 1457540015) is a healthcare organization registered as a family medicine in Harrah, Oklahoma and active in the NPI registry since October 2007. The organization lists Crystal L Pena, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1457540015
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAINT MEDICAL GROUP, LLC
Location Address18961 NE 23RD STREETHarrah, OK 73045
Mailing Address18961 Ne 23rd StreetHarrah, OK 73045 · (405) 772-4650 · Fax (405) 772-4653
Phone(405) 772-4650
Fax(405) 772-4653
Organization SubpartYesParent: Ssm Health Care Of Oklahoma Inc
Authorized OfficialCrystal L PenaProvider Enrollment · (405) 272-7452
Enumeration DateOctober 19, 2007
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 9, 2022
✔ NPI 1457540015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedNurse PractitionerTaxonomy 363L00000X
18961 NE 23RD STREET, Harrah, OK 73045
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Other Names 1

Doing Business AsSsm Health Harrah Ambulatory Care

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Saint Medical Group, LLC's NPI number?

The NPI number for Saint Medical Group, LLC is 1457540015. It was assigned to this organization in the NPPES registry on October 19, 2007. The provider is doing business as Ssm Health Harrah Ambulatory Care.

Where is Saint Medical Group, LLC located?

Saint Medical Group, LLC is located at 18961 NE 23rd Street, Harrah, OK 73045. The listed phone number is (405) 772-4650.

What is Saint Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Saint Medical Group, LLC was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.