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SSM HEALTH MEDICAL GROUP AT CHESAPEAKE
NPI 1578174983
Family Medicine in Edmond, OK

Active since August 11, 2020
2749 PROGRESSIVE DR, EDMOND, OK 73034(405) 772-4130(405) 772-4135 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 7, 2021, Aug 11, 2020 (2 updates tracked since 2020).

About Ssm Health Medical Group At Chesapeake NPPES

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

SSM HEALTH MEDICAL GROUP AT CHESAPEAKE (NPI 1578174983) is a healthcare organization registered as a family medicine in Edmond, Oklahoma and active in the NPI registry since August 2020. The organization maintains a secondary practice location in Oklahoma City and lists Crystal L Pena, Provider Enrollment Coordinator, as its authorized official.

NPPES Registry Identity

NPI1578174983
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAINT MEDICAL GROUP, LLC
Location Address2749 PROGRESSIVE DREdmond, OK 73034-7649
Mailing Address2749 Progressive DrEdmond, OK 73034-7649 · (405) 772-4130 · Fax (405) 772-4135
Phone(405) 772-4130
Fax(405) 772-4135
Organization SubpartYesParent: Ssm Health Care Of Oklahoma, Inc.
Authorized OfficialCrystal L PenaProvider Enrollment Coordinator · (405) 272-7452
Enumeration DateAugust 11, 2020
Last NPPES UpdateMay 7, 20212 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
✔ NPI 1578174983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedPediatricsTaxonomy 208000000X
2749 PROGRESSIVE DR, Edmond, OK 73034
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Other Names 1

Doing Business AsSsm Health Medical Group At Chesapeake

Secondary Practice Location 1

Location 1924 NW 58th StOklahoma City, OK 73118-5915 · Phone (405) 218-2500 · Fax (405) 218-2560

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 3

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

TIFFANY S. PARRY F.N.P.
Nurse Practitioner (Family)
2749 PROGRESSIVE DR
EDMOND, OK 73034
Oklahoma County (405) 772-4110
JASON CHRISTOPHER ONARECKER MD
Pediatrics
2749 PROGRESSIVE DR
EDMOND, OK 73034
Oklahoma County (405) 772-4130
SAINTS MEDICAL GROUP, LLC
Durable Medical Equipment & Medical Supplies
2749 PROGRESSIVE DR
EDMOND, OK 73034
Oklahoma County (405) 772-4110

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 1578174983. It was assigned to this organization in the NPPES registry on August 11, 2020. The provider is doing business as Ssm Health Medical Group At Chesapeake.

Where is Saint Medical Group, LLC located?

Saint Medical Group, LLC is located at 2749 Progressive Dr, Edmond, OK 73034. The listed phone number is (405) 772-4130.

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 May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.