SSM HEALTHCARE OF OK INC NPI 1780953240

NPI Details

SSM HEALTHCARE OF OK, INC is a family medicine in Oklahoma City, OK. The provider is 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. SSM HEALTHCARE OF OK, INC NPI is 1780953240. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Anthony Physicians-family Medicine South.

The provider's business location address is:

13500 S TULSA DRIVE
OKLAHOMA CITY, OK
ZIP 73170
Phone: (405) 815-5600
Fax: (405) 272-7937

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 37D2034951 - ancillary testing site in health care center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/29/2011 and was last updated on 12/29/2011.

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: