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SAINTS DERMATOLOGY CENTER OF EXCELLENCE
NPI 1720325533
Dermatology in Oklahoma City, OK

Active since January 14, 2013CLIA 37D2025974 · Microscopy
9720 BROADWAY EXTENSION, OKLAHOMA CITY, OK 73114(405) 280-7546(405) 737-5901 Get Directions Write a Review

NPPES record last updated: January 14, 2013. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Saints Dermatology Center Of Excellence NPPES

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

SAINTS DERMATOLOGY CENTER OF EXCELLENCE (NPI 1720325533) is a healthcare organization registered as a dermatology in Oklahoma City, Oklahoma and active in the NPI registry since January 2013. The organization holds a CLIA Microscopy certificate valid through January 28, 2028 and lists Crystal L Pena, Insurance Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1720325533
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSAINTS MEDICAL GROUP, LLC
Location Address9720 BROADWAY EXTENSIONOklahoma City, OK 73114
Mailing Address9720 Broadway ExtensionOklahoma City, OK 73114 · (405) 280-7546 · Fax (405) 737-5901
Phone(405) 280-7546
Fax(405) 737-5901
Organization SubpartYesParent: Ssm Healthcare Of Ok, Inc
Authorized OfficialCrystal L PenaInsurance Credentialing Specialist · (405) 272-7452
Enumeration DateJanuary 14, 2013
✔ NPI 1720325533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in OK · 22879
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
9720 BROADWAY EXTENSION, Oklahoma City, OK 73114
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Other Names 1

Doing Business AsSaints Dermatology Center Of Excellence

Group Practice 1

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

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 for Provider-Performed Microscopy Procedures (PPMP) 37D2025974

Saints Dermatology · Midwest City, OK
Active · expires Jan 28, 2028
CLIA Number37D2025974
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorShelbi Hayes
Laboratory Phone(405) 280-7546
Laboratory LocationSaints Dermatology1622 Midtown Place, Midwest City, OK 73130
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Saints Medical Group, LLC's NPI number?

The NPI number for Saints Medical Group, LLC is 1720325533. It was assigned to this organization in the NPPES registry on January 14, 2013. The provider is doing business as Saints Dermatology Center Of Excellence.

Where is Saints Medical Group, LLC located?

Saints Medical Group, LLC is located at 9720 Broadway Extension, Oklahoma City, OK 73114. The listed phone number is (405) 280-7546.

What is Saints Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Saints Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 37D2025974) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Saints Medical Group, LLC was last updated on January 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.