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

Active since January 14, 2013
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: July 19, 2026.

  • Organization
  • Dermatology

About SAINTS DERMATOLOGY CENTER OF EXCELLENCE

This page provides the complete NPI Profile along with additional information for Saints Dermatology Center Of Excellence, a provider established in Oklahoma City, Oklahoma operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1720325533 assigned on January 2013. The practitioner's primary taxonomy code is 207N00000X with license number 22879 (OK). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Saints Dermatology Center Of Excellence. The authorized official of this NPI record is Crystal L Pena (Insurance Credentialing Specialist)

NPI
1720325533 Verify this NPI
Provider Legal Name
SAINTS MEDICAL GROUP, LLC
Other Organization Name
SAINTS DERMATOLOGY CENTER OF EXCELLENCE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9720 BROADWAY EXTENSION OKLAHOMA CITY, OK 73114
Location Phone
(405) 280-7546
Location Fax
(405) 737-5901
Mailing Address
9720 BROADWAY EXTENSION OKLAHOMA CITY, OK 73114
Mailing Phone
(405) 280-7546
Mailing Fax
(405) 737-5901
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-14-2013
Last Update Date
01-14-2013
Code Navigator

A dermatologist like Saints Dermatology Center Of Excellence is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
22879
License State
OK
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CRYSTAL L PENA

Authorized Official Title
INSURANCE CREDENTIALING SPECIALIST
Authorized Official Phone
(405) 272-7452

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720325533, enumerated as an "organization" on January 14, 2013.

The provider is located at 9720 BROADWAY EXTENSION OKLAHOMA CITY, OK 73114 and the phone number is (405) 280-7546.

Dermatology with taxonomy code 207N00000X.