ST ANTHONY PHYSICIANS-FAMILY MEDICINE SOUTH
NPI 1780953240
Family Medicine in Oklahoma City, OK

Active since December 29, 2011CLIA 37D2034951 · Accreditation
13500 S TULSA DRIVE, OKLAHOMA CITY, OK 73170(405) 815-5600(405) 272-7937 Get Directions Write a Review

NPPES record last updated: December 29, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Family Medicine
  • CLIA Number: 37D2034951
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 11-13-2026

About ST ANTHONY PHYSICIANS-FAMILY MEDICINE SOUTH

This page provides the complete NPI Profile along with additional information for St Anthony Physicians-family Medicine South, a primary care provider established in Oklahoma City, Oklahoma operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1780953240 assigned on December 2011. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. St Anthony Physicians-family Medicine South operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as St Anthony Physicians-family Medicine South. The authorized official of this NPI record is Crystal L Pena (Insurance Credentialing Specialist)

NPI
1780953240 Verify this NPI
Provider Legal Name
SSM HEALTHCARE OF OK, INC
Other Organization Name
ST ANTHONY PHYSICIANS-FAMILY MEDICINE SOUTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
13500 S TULSA DRIVE OKLAHOMA CITY, OK 73170
Location Phone
(405) 815-5600
Location Fax
(405) 272-7937
Mailing Address
PO BOX 269064 OKLAHOMA CITY, OK 73126
Mailing Phone
(405) 272-7452
Mailing Fax
(405) 272-7937
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-29-2011
Last Update Date
12-29-2011
Code Navigator

A primary care provider (PCP) like St Anthony Physicians-family Medicine South sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D2034951
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
November 14, 2024
Certificate Expiration Date
November 13, 2026
Laboratory Director
DR. NARESH PEMMARAJU
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to St Anthony Physicians-family Medicine South on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780953240, enumerated as an "organization" on December 29, 2011.

The provider is located at 13500 S TULSA DRIVE OKLAHOMA CITY, OK 73170 and the phone number is (405) 815-5600.

Family Medicine with taxonomy code 207Q00000X.