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SAINTS MEDICAL GROUP LLC NPI 1285138032


NPI Information

NPI: 1285138032
Provider Name: SAINTS MEDICAL GROUP, LLC

Doing Business As: SAINTS DERMATOLOGY CENTER OF EXCELLENCE MUSTANG

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 37D2138538

Address:
1440 N MUSTANG ROAD
MUSTANG, OK
ZIP 73064
Phone: (405) 280-7546
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SAINTS MEDICAL GROUP, LLC is a dermatology in Mustang, OK. The provider is 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. SAINTS MEDICAL GROUP, LLC NPI is 1285138032. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Saints Dermatology Center Of Excellence Mustang.

The provider's business location address is:

1440 N MUSTANG ROAD
MUSTANG, OK
ZIP 73064-214
Phone: (405) 280-7546
Fax: (405) 772-8674

The provider's authorized official is Crystal L Pena .
The authorized official title is Insurance Credentialing Specialist and has the following contact phone number (405) 272-7452.

The CLIA number assigned to this NPI record is 37D2138538 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/19/2018 and was last updated on 3/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyOKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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