MUSKOGEE FOOT CLINIC INC. (NPI# 1568655488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568655488 |
| Entity Type | Organization |
| Organization Name | MUSKOGEE FOOT CLINIC INC. |
| Other Organization Name | MUSKOGEE FOOT CLINIC INC. |
| Practice Address |
2400 W Broadway St Muskogee OK 74401-2763 |
| Practice Telephone | 9186875171 |
| Practice Fax Number | 9186877150 |
| Mailing Telephone | 9186875171 |
| Mailing Fax Number | 9186877150 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2010-06-18 |
| Authorized Official Name | DR. DAVID LACY GREEN (PODIATRIST) |
| Authorized Official Telephone | 9186875171 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Muskogee Foot Clinic inc. | Former Legal Business Name - Organization |
| Street Address |
2400 W BROADWAY ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-2763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952495061 | Erin Elizabeth Ramsey | Speech-Language Pathologist | 2400 W Broadway St, Muskogee, OK 74401-2763 | 2006-10-03 |
| 1104381037 | Linda Jean Yarbrough | Counselor | 2400 W Broadway St, Muskogee, OK 74401-2763 | 2019-02-05 |
| 1598126344 | Jennifer Davis | Speech-Language Pathologist | 2400 W Broadway St, Muskogee, OK 74401-2763 | 2016-03-08 |
| 1962863704 | Felicia Watkins | Dietitian, Registered | 2400 W Broadway St, Muskogee, OK 74401-2763 | 2016-03-07 |
| 1144630393 | Brandi Wofford | Speech-Language Pathologist | 2400 W Broadway St, Muskogee, OK 74401-2763 | 2014-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972555613 | James G Crotty | Podiatrist | 1221 W Broadway St, Muskogee, OK 74401-6249 | 2006-05-17 |
| 1881826923 | Pittman Foot Specialists | Podiatrist | 3300 Chandler Rd, Suite 109, Muskogee, OK 74403-4957 | 2009-08-21 |
| 1003014077 | Larry Hale Pittman Jr. | Podiatrist | 3300 Chandler Rd, Suite 105, Muskogee, OK 74403-4957 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568011344 | Oklahoma Foot and Ankle Associates Pllc | Podiatrist | 3700 N Kickapoo Ave Ste 104, Shawnee, OK 74804-0007 | 2019-09-05 |
| 1578046207 | Foot & Ankle Surgeons of Oklahoma Pllc | Podiatrist | 1201 Arlington St Ste C, Ada, OK 74820-4072 | 2018-09-09 |
| 1518443761 | Foot & Ankle Surgeons of Oklahoma Pllc | Podiatrist | 1703 Professional Cir Ste 101, Yukon, OK 73099-6497 | 2018-07-11 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1215393020 | Scott A. Hosler, D.p.m. | Podiatrist | 4108 Wyckham Pl, Norman, OK 73072-3019 | 2016-01-08 |
| 1679957328 | Alexandra Shendrik Kloeck | Podiatrist | 1501 N Florence Ave Ste 350, Claremore, OK 74017-3275 | 2015-07-13 |
| 1346630779 | Majl Enterprises | Podiatrist | 8829 E 77th St, Tulsa, OK 74133-4927 | 2015-01-22 |
| 1992110092 | Christopher Marshall Seat | Podiatrist | 5500 N Portland Ave, Oklahoma City, OK 73112 | 2014-06-26 |
| 1598181976 | Leila Mae Mckenzie Straehla | Podiatrist | 13316 S Western Ave Ste I, Oklahoma City, OK 73170-7309 | 2014-03-10 |
| 1699019869 | Brooke K Stough Dpm | Podiatrist | 1113 Winchester Ave, Enid, OK 73703-8401 | 2012-11-12 |
| 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.