Ssm Healthcare of Oklahoma, Inc
NPI 1093125072ActiveOrganization· Internal Medicine, Gastroenterology· Oklahoma City, OK
Internal Medicine, Gastroenterology in Oklahoma City, Oklahoma, registered in NPPES in April 2014, part of Ssm Healthcare of Oklahoma, Inc. The authorized official on file is Crystal L. Pena, Insurance Credentialing Specialist.
Overview
| NPI | 1093125072 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ssm Healthcare of Oklahoma, Inc |
| NPI issued | Apr 30, 2014 |
| Last updated in NPPES | Apr 30, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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