OKLAHOMA SPECIALTY PODIATRY SERVICES LLC (NPI# 1306493754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306493754 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA SPECIALTY PODIATRY SERVICES LLC |
| Practice Address |
4422 Wagonwheel Rd Edmond OK 73034-5962 |
| Mailing Address |
Po Box 8574 Edmond OK 73083-8574 |
| Practice Telephone | 4052041703 |
| Mailing Telephone | 4054716190 |
| Mailing Fax Number | 4052858921 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |
| Authorized Official Name | JOHN M DUCK (CFO) |
| Authorized Official Telephone | 4054716190 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| Street Address |
4422 WAGONWHEEL RD |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-5962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609395854 | Weber Podiatry LLC | Clinic/Center | 1501 Autumn Creek Dr, Edmond, OK 73003-3500 | 2017-09-19 |
| 1851727770 | Gray's Foot & Ankle Inc. | Clinic/Center | 14117 Pecan Hollow Ter, Edmond, OK 73013-7257 | 2013-09-24 |
| 1609325489 | Harkess Podiatry LLC | Clinic/Center | 15318 N May Ave, Suite A, Edmond, OK 73013-8864 | 2016-09-22 |
| 1134461429 | Advanced Podiatry, Pllc | Clinic/Center | 15318 N May Ave, Edmond, OK 73013-8864 | 2013-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467961524 | Allen Podiatry LLC | Clinic/Center | 3668 W 70th Pl N, Tulsa, OK 74126-4384 | 2017-09-21 |
| 1740709906 | Hall Podiatry LLC | Clinic/Center | 20 Sw 132nd Terrace, Moore, OK 73170 | 2017-09-19 |
| 1952591158 | Valley View Foot & Ankle Center Pllc | Clinic/Center | 1631 Arlington St, Ada, OK 74820-2639 | 2007-07-25 |
| 1396234761 | Pro-care Family Health of Oklahoma, LLC | Clinic/Center | 1103 Dewey Ave, Poteau, OK 74953-4411 | 2018-05-01 |
| 1497274609 | Martin Podiatry LLC | Clinic/Center | 2501 N Van Buren St, Enid, OK 73703-1711 | 2017-09-19 |
| 1467759407 | Oklahoma Foot and Ankle Center | Clinic/Center | 3330 Nw 56th St, Suite 410, Oklahoma City, OK 73112-4479 | 2011-02-25 |
| 1568774867 | Clifford G Allen II Dpm Pllc | Clinic/Center | 214 N Main St Ste 203, Sand Springs, OK 74063-7652 | 2010-07-02 |
| 1699908467 | Peter Quoc Le | Clinic/Center | 2201 N Meridian Ave, Oklahoma City, OK 73107-2629 | 2009-08-27 |
| 1003911777 | Rose Foot and Ankle, P.C. | Clinic/Center | 2801 Parklawn Drive, Suite 405, Midwest City, OK 73110 | 2006-09-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.