# SAINT 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 Sleep Disorders
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396399796
- **Legal business name:** SSM HEALTH CARE OF OKLAHOMA, INC.
- **Authorized official:** CRYSTAL L PENA (PROVIDER ENROLLMENT/CREDENTIALING)
- **Authorized official phone:** (405) 272-7452

## Contact information

- **Practice address:** 608 NW 9TH ST STE 5010, OKLAHOMA CITY, OK 73102-1058
- **Practice address phone:** (405) 815-5680
- **Practice address fax:** (405) 815-5685
- **Mailing address:** 608 NW 9TH ST STE 5010, OKLAHOMA CITY, OK 73102-1058
- **Mailing address phone:** (405) 815-5680
- **Mailing address fax:** (405) 815-5685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | — | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2019
- **Last updated:** 07/25/2019