SAINTS DERMATOLOGY MIDWEST CITY
NPI 1780970186
Dermatology in Midwest City, OK

NPI Status: Active since June 23, 2011

Contact Information

9020 E RENO AVE
SUITE 100
MIDWEST CITY, OK
ZIP 73130
Phone: (405) 732-0397
Fax: (405) 737-5901

Get Directions Reviews

  • Organization
  • Dermatology
  • CLIA Number: 37D2025974
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-28-2026

About SAINTS DERMATOLOGY MIDWEST CITY

This page provides the complete NPI Profile along with additional information for Saints Dermatology Midwest City, a provider established in Midwest City, Oklahoma operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1780970186 assigned on June 2011. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Saints Dermatology Midwest City operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Saints Dermatology Midwest City. The authorized official of this NPI record is Crystal L Pena (Insurance Credentialing Specialist)

NPI
1780970186
Provider Legal Name
SAINTS MEDICAL GROUP
Other Organization Name
SAINTS DERMATOLOGY MIDWEST CITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9020 E RENO AVE SUITE 100 MIDWEST CITY, OK 73130
Location Phone
(405) 732-0397
Location Fax
(405) 737-5901
Mailing Address
9020 E RENO AVE SUITE 100 MIDWEST CITY, OK 73130
Mailing Phone
(405) 732-0397
Mailing Fax
(405) 737-5901
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-23-2011
Last Update Date
07-29-2011
Code Navigator

A dermatologist like Saints Dermatology Midwest City is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CRYSTAL L PENA

Authorized Official Title
INSURANCE CREDENTIALING SPECIALIST
Authorized Official Phone
(405) 272-7452

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D2025974
Facility Type
Physician Office
Certificate Effective Date
January 29, 2024
Certificate Expiration Date
January 28, 2026
Laboratory Director
SHELBI HAYES
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Saints Dermatology Midwest City in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for SAINTS DERMATOLOGY MIDWEST CITY

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1780970186
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271601870116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 1 + 8 + 7 + 0 + 1 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1780970186 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275724825SAINTS MEDICAL GROUP, LLC
Organization
Family Medicine9020 E RENO AVE SUITE 100
MIDWEST CITY, OK 73130
(405) 732-0397
1124374814MIDWEST CITY HMA PHYSICIAN MANAGEMENT, LLC
Organization
Orthopaedic Surgery9020 E RENO AVE
MIDWEST CITY, OK 73130
(405) 737-2474
1023076528 CHRIS W REGIER DO
Individual
Otolaryngology9020 E RENO AVE
MIDWEST CITY, OK 73130
(405) 737-2845
1124611009SAINTS MEDICAL GROUP, LLC
Organization
Clinic/Center (Multi-Specialty)9020 E RENO AVE
MIDWEST CITY, OK 73130
(405) 732-7020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780970186, enumerated in the NPI registry as an "organization" on June 23, 2011

The provider is located at 9020 E Reno Ave Suite 100 Midwest City, Ok 73130 and the phone number is (405) 732-0397

This medical organization specializes in Dermatology with taxonomy code 207N00000X

The provider's CLIA number is 37D2025974 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on June 23, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.