OrganizationActive
Saint Medical Group, LLC
NPI 1194403055 · Interventional Cardiology Physician · Ardmore, OK
Provider details
- NPI number
- 1194403055
- 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, Provider Enrollment(405) 272-7452
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1115 Walnut Dr
Ardmore, OK 73401-2354
Phone: (405) 231-3737
Fax: (405) 272-6144
Street-level locationGet directions
Mailing address
1115 Walnut Dr
Ardmore, OK 73401-2354
Other names (DBA / former)
- Doing business as
- Ssm Health Medical Group Ardmore
Registry dates
- Enumerated
- 2023-07-10
- Last updated
- 2023-07-10
- Certified
- 2023-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.