# SAINT MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SSM HEALTH CARE OF OKLAHOMA, INC.
- **Other names:** SSM Health Bone & Joint Injury Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790267169
- **Legal business name:** SSM HEALTH CARE OF OKLAHOMA, INC.
- **Authorized official:** CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
- **Authorized official phone:** (405) 272-7452

## Contact information

- **Practice address:** 13401 N WESTERN AVE STE 100, OKLAHOMA CITY, OK 73114-1409
- **Practice address phone:** (405) 252-3441
- **Practice address fax:** (405) 252-3434
- **Mailing address:** 13401 N WESTERN AVE STE 100, OKLAHOMA CITY, OK 73114-1409
- **Mailing address phone:** (405) 252-3441
- **Mailing address fax:** (405) 252-3434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician | — | NULL | Yes |
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician | — | — | Yes |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 2080S0010X | Pediatric Sports Medicine Physician | — | NULL | — |
| 2080S0010X | Pediatric Sports Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 09/03/2018
- **Last updated:** 09/03/2018