SAINTS DERMATOLOGY MIDWEST CITY
NPI 1780970186
Dermatology in Midwest City, OK

NPI Status: Active since June 23, 2011

Contact Information

9020 E RENO AVE
SUITE 100
MIDWEST CITY, OK
ZIP 73130
Phone: (405) 732-0397
Fax: (405) 737-5901

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  • Organization
  • Dermatology
  • CLIA Number: 37D2025974
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-28-2026

About SAINTS DERMATOLOGY MIDWEST CITY

This page provides the complete NPI Profile along with additional information for Saints Dermatology Midwest City, a provider established in Midwest City, Oklahoma operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1780970186 assigned on June 2011. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Saints Dermatology Midwest City 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 Saints Dermatology Midwest City. The authorized official of this NPI record is Crystal L Pena (Insurance Credentialing Specialist)

NPI
1780970186
Provider Legal Name
SAINTS MEDICAL GROUP
Other Organization Name
SAINTS DERMATOLOGY MIDWEST CITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9020 E RENO AVE SUITE 100 MIDWEST CITY, OK 73130
Location Phone
(405) 732-0397
Location Fax
(405) 737-5901
Mailing Address
9020 E RENO AVE SUITE 100 MIDWEST CITY, OK 73130
Mailing Phone
(405) 732-0397
Mailing Fax
(405) 737-5901
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-23-2011
Last Update Date
07-29-2011
Code Navigator

A dermatologist like Saints Dermatology Midwest City 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
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

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
37D2025974
Facility Type
Physician Office
Certificate Effective Date
January 29, 2024
Certificate Expiration Date
January 28, 2026
Laboratory Director
SHELBI HAYES
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Saints Dermatology Midwest City in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1780970186, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 1 + 8 + 7 + 0 + 1 + 1 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1780970186.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Family Medicine
9020 E RENO AVE, SUITE 100
MIDWEST CITY, OK 73130
Orthopaedic Surgery
9020 E RENO AVE
MIDWEST CITY, OK 73130
Otolaryngology
9020 E RENO AVE
MIDWEST CITY, OK 73130
Clinic/Center (Multi-Specialty)
9020 E RENO AVE
MIDWEST CITY, OK 73130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780970186, enumerated as an "organization" on June 23, 2011.

The provider is located at 9020 E RENO AVE SUITE 100 MIDWEST CITY, OK 73130 and the phone number is (405) 732-0397.

Dermatology with taxonomy code 207N00000X.