DARREN ELENBURG DPM PC (NPI# 1477194199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477194199 |
| Entity Type | Organization |
| Organization Name | DARREN ELENBURG DPM PC |
| Practice Address |
507 Ne 12th St Moore OK 73160-5807 |
| Mailing Address |
609 W Memorial Rd Oklahoma City OK 73114-2006 |
| Practice Telephone | 4054182676 |
| Practice Fax Number | 4054182677 |
| Mailing Telephone | 4054182676 |
| Mailing Fax Number | 4054182677 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Authorized Official Name | DARREN DEAN ELENBURG (OWNER) |
| Authorized Official Telephone | 4054182676 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | DARREN ELENBURG DPM PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200120470A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558567537 | Darren Elenburg Dpm PC | Podiatrist | 609 W Memorial Rd, Oklahoma City, OK 73114-2006 | 2007-06-26 |
| Street Address |
507 NE 12TH ST |
| City | MOORE |
| State | OK |
| Zip Code | 73160-5807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073696605 | Kenneth Demasters | Physician Assistant | 507 Ne 12th St, Moore, OK 73160-5807 | 2006-10-24 |
| 1871069724 | Teisha Alynn Gallegly | Family Medicine | 507 Ne 12th St, Moore, OK 73160-5807 | 2018-10-18 |
| 1659774131 | Jessica Deppen | Nurse Practitioner | 507 Ne 12th St, Moore, OK 73160-5807 | 2014-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124197645 | Oklahoma Foot and Ankle Associates | Podiatrist | 520 S Telephone Rd Ste 111, Moore, OK 73160-5424 | 2006-11-07 |
| 1881675213 | Scott E Morris | Podiatrist | 3001 S Telephone Rd, Ste B, Moore, OK 73160-2942 | 2005-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235921 | Integrity Diabetic Shoes, Inc | Podiatrist | 117 N Garfield Ave, Sand Springs, OK 74063-7214 | 2020-08-14 |
| 1760949499 | Tushka Corp | Podiatrist | 2609 Highwood Pl, Claremore, OK 74017-4884 | 2019-02-28 |
| 1619475696 | Tulsa Podiatry Clinics LLC | Podiatrist | 416 W 15th St Ste 500c, Edmond, OK 73013-3672 | 2018-01-25 |
| 1518327089 | Mathew James Johnstone | Podiatrist | 1000 N Lincoln Blvd Ste 3400, Oklahoma City, OK 73104-3252 | 2016-02-26 |
| 1639438237 | Jason A. Lashley, D.p.m. | Podiatrist | 600 W. 15th, Edmond, OK 73013 | 2012-05-16 |
| 1073871265 | Benjamin Beecher Harkess | Podiatrist | 4140 W Memorial Rd Ste 421, Oklahoma City, OK 73120-8300 | 2012-04-25 |
| 1871863258 | Oklahoma Senior Podiatry Services, P.C. | Podiatrist | 3208 Brush Creek Rd., Oklahoma City, OK 73120-1852 | 2012-01-03 |
| 1437488384 | Edgar Paul Ledoux | Podiatrist | 215 E Choctaw, Ste 105, Mcalester, OK 74501 | 2009-12-23 |
| 1629305149 | Greater Tulsa Foot & Ankle Center, Pllc | Podiatrist | 3540 E. 31st Street, Suite 2, Greater Tulsa Foot & Ankle Center, Pllc, Tulsa, OK 74135 | 2009-11-04 |
| 1710154471 | Jeremy M Mason | Podiatrist | 5711 E 71 St, # 115, Tulsa, OK 74136 | 2008-05-13 |
| Find all providers with the same taxonomy | ||||
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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.