OrganizationActive
Saint Medical Group, LLC
NPI 1578174983 · Family Medicine Physician · Edmond, OK
Provider details
- NPI number
- 1578174983
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Ssm Health Care of Oklahoma, Inc.
- Organization subpart
- Yes
- Authorized official
- Crystal Pena, Provider Enrollment Coordinator(405) 272-7452
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
2749 Progressive Dr
Edmond, OK 73034-7649
Phone: (405) 772-4130
Fax: (405) 772-4135
Approximate (ZIP-level) locationGet directions
Mailing address
2749 Progressive Dr
Edmond, OK 73034-7649
Other names (DBA / former)
- Doing business as
- Ssm Health Medical Group at Chesapeake
- Doing business as
- Ssm Health Medical Group at Chesapeake
Additional practice locations (1)
- 924 Nw 58th StOklahoma City, OK 73118-5915Phone: (405) 218-2500Fax: (405) 218-2560
Registry dates
- Enumerated
- 2020-08-11
- Last updated
- 2021-05-07
- Certified
- 2021-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.