OrganizationActive
Saint Medical Group, LLC
NPI 1073108460 · Interventional Cardiology Physician · Seminole, OK
Provider details
- NPI number
- 1073108460
- Entity type
- Organization
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Ssm Health Care of Oklahoma, Inc.
- Organization subpart
- Yes
- Authorized official
- Crystal Pena, Credentialing Specialist(405) 272-7452
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Urology Physician208800000X
Allopathic & Osteopathic Physicians
Practice location
2403 W Wrangler Blvd
Seminole, OK 74868-1900
Phone: (405) 732-7020
Fax: (405) 732-7839
Approximate (ZIP-level) locationGet directions
Mailing address
2403 W Wrangler Blvd
Seminole, OK 74868-1900
Other names (DBA / former)
- Doing business as
- Ssm Health Medical Group Seminole Specialty Care
Registry dates
- Enumerated
- 2021-03-08
- Last updated
- 2021-03-08
- Certified
- 2021-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.