# SAINTS MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SSM HEALTH CARE OF OKLAHOMA, INC.
- **Other names:** SSM Health Medical Group Womens Health East
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144836206
- **Legal business name:** SSM HEALTH CARE OF OKLAHOMA, INC.
- **Authorized official:** CRYSTAL L PENA (PROVIDER ENROLLMENT CO-ORDINATOR)
- **Authorized official phone:** (405) 272-7452

## Contact information

- **Practice address:** 5612 S E 67TH STREET, OKLAHOMA CITY, OK 73135
- **Practice address phone:** (405) 772-4750
- **Practice address fax:** (405) 772-4755
- **Mailing address:** 5612 SE 67TH ST, OKLAHOMA CITY, OK 73135
- **Mailing address phone:** (405) 772-4750
- **Mailing address fax:** (405) 772-4755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2020
- **Last updated:** 08/11/2021