SSM Health Medical Group Moore Primary Care – Physician Assistant, NPI 1952994832

SSM Health Medical Group Moore Primary Care is a healthcare provider. based in Moore, Oklahoma. specializing in Physician Assistant. The NPI Number for SSM Health Medical Group Moore Primary Care is 1952994832

Main info

Organization
Name
SSM Health Medical Group Moore Primary Care
NPI
1952994832
Phone
(405) 799-7400
Address
1400 SE 4TH ST
Authorized Official
CRYSTAL L PENA PROVIDER ENROLLMENT
Enumeration Date
11 February 2021
Last Update Date
11 February 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness80
Years active:5State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for SSM Health Medical Group Moore Primary Care

  • 1400 SE 4TH ST

    MOORE, OK 731607329

    Phone: (405) 799-7400

    Fax: (405) 799-7405

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73160)

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Reviews

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Frequently asked questions

Can I verify SSM Health Medical Group Moore Primary Care with an NPI only?
You can start verification with NPI 1952994832 for SSM Health Medical Group Moore Primary Care, then check state licensing separately.
Can I rely on SSM Health Medical Group Moore Primary Care being an active provider?
As of the registry snapshot, SSM Health Medical Group Moore Primary Care is marked active.
What is SSM Health Medical Group Moore Primary Care best known for clinically?
Directory data describes SSM Health Medical Group Moore Primary Care with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is SSM Health Medical Group Moore Primary Care based?
SSM Health Medical Group Moore Primary Care is tied to Moore, Oklahoma in the data we show; additional addresses may exist on the full record.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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