FOOT AND ANKLE CLINIC OF WESTERN OKLAHOMA (NPI# 1518132885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518132885 |
| Entity Type | Organization |
| Organization Name | FOOT AND ANKLE CLINIC OF WESTERN OKLAHOMA |
| Practice Address |
1221 Colorado Ave Ste C Elk City OK 73644-2800 |
| Mailing Address |
800 Frisco Ave Clinton OK 73601-3306 |
| Practice Telephone | 5802259955 |
| Practice Fax Number | 5802259954 |
| Mailing Telephone | 5803235800 |
| Mailing Fax Number | 5803235802 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |
| Authorized Official Name | DR. BRADLEY DEWAYNE NELSON (OWNER) |
| Authorized Official Telephone | 5803235800 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 230 | OK | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE GROUP | 200522085 | 01 |
| OK | RAILROAD MEDICARE | P00162625 | 01 |
| OK | 200026900A | 05 |
| Street Address |
1221 COLORADO AVE STE C |
| City | ELK CITY |
| State | OK |
| Zip Code | 73644-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457892184 | Robinson Medical Clinic East, LLC | Nurse Practitioner | 1221 Colorado Ave, Elk City, OK 73644-2800 | 2017-03-14 |
| 1366732059 | David W. Bank M.d. Inc. | Clinic/Center | 1221 Colorado Ave, Elk City, OK 73644-2800 | 2011-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700259918 | Marco Chavez | Peer Specialist | 2032 W. 7th Place, Elk City, OK 73644 | 2015-11-10 |
| 1932588811 | Erin Marie Sloan | Family Medicine | 1710 W 3rd St Ste 102, Elk City, OK 73644 | 2015-05-25 |
| 1649521568 | Michael Robinson Medical Clinic, LLC | Family Medicine | 1900 W. 2nd St, Suite A, Elk City, OK 73644 | 2012-10-02 |
| 1780913129 | Kathi Lee Henderson | Clinical Nurse Specialist | 1513 N Randall Ave, Elk City, OK 73644 | 2009-12-14 |
| 1700018330 | Tiffany Dawn Dupree | Obstetrics & Gynecology | 1800 West 1st, Suite 101, Elk City, OK 73644 | 2009-08-16 |
| 1538331483 | Farrina Steel | Community Health Worker | 3080 W. 3rd Street, Elk City, OK 73644 | 2008-04-01 |
| 1851586622 | Billy Charles Spurlock | Chiropractor | 1521 W 3rd St, Elk City, OK 73644 | 2007-09-13 |
| 1073736096 | Bruce Daniel Storm Jr. | Dentist | 300 N Garrett, Elk City, OK 73644 | 2007-04-10 |
| 1578681698 | Tiffany Shook | Case Manager/Care Coordinator | 306 Maverick Lane, Elk City, OK 73644 | 2007-03-27 |
| 1720152614 | Diversified Family Services Inc | Community/Behavioral Health | 1021 E Hwy 66, Elk City, OK 73644 | 2006-11-20 |
| Find all providers in zip 73644 | ||||
| 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 |
|---|---|---|---|---|
| 1821264920 | Foot & Ankle Clinic of Western Oklahoma, Pllc | Podiatrist | 2624 W 3rd St, Ste 101, Elk City, OK 73644-4341 | 2008-05-08 |
| 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.