Organization Name: | SSM HEALTHCARE OF OK, INC |
NPI Number: | 1336338334 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST) |
Mailing Address: | 608 Nw 9th St Suite 5000 Oklahoma City |
State: | OK US |
Postal Code: | 731021068 |
Phone Number: | 4052727026 |
Fax Number: | 4052727027 |
NPI Enumeration Date: | 10/16/2007 |
NPI Last Update Date: | 09/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |