FOOT & ANKLE SURGEONS OF OKLAHOMA PLLC (NPI# 1578046207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578046207 |
Entity Type | Organization |
Organization Name | FOOT & ANKLE SURGEONS OF OKLAHOMA PLLC |
Practice Address |
1201 Arlington St Ste C Ada OK 74820-4072 |
Mailing Address |
Po Box 268996 Oklahoma City OK 73126-8996 |
Practice Telephone | 5803323399 |
Mailing Telephone | 4054184500 |
Mailing Fax Number | 4054184501 |
Enumeration Date | 2018-09-09 |
Last Update Date | 2019-10-28 |
Authorized Official Name | CHRISTOPHER JAMES GREEN (PRESIDENT) |
Authorized Official Telephone | 4054184500 |
Authorized Official Credential | DPM |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200434410A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518443761 | Foot & Ankle Surgeons of Oklahoma Pllc | Podiatrist | 1703 Professional Cir Ste 101, Yukon, OK 73099-6497 | 2018-07-11 |
1639784176 | Foot & Ankle Surgeons of Oklahoma Pllc | Podiatrist | 2100 W Iowa Ave, Chickasha, OK 73018-2736 | 2020-09-11 |
1982232377 | Foot & Ankle Surgeons of Oklahoma Pllc | Podiatrist | 1627 N Kickapoo Ave, Shawnee, OK 74804-4313 | 2020-03-31 |
1962747444 | Foot & Ankle Surgeons of Oklahoma Pllc | Podiatrist | 4221 S Western Ave, #4020, Oklahoma City, OK 73109-3447 | 2012-12-10 |
1558621342 | Foot & Ankle Surgeons of Oklahoma Pllc | Podiatrist | 13100 N Western Ave Ste 200, Oklahoma City, OK 73114-1431 | 2012-05-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | FOOT & ANKLE SURGEONS OF OKLAHOMA PLLC | 13100 N Western Ave # 200, Oklahoma City, OK 73114-1431 |
Street Address |
1201 ARLINGTON ST STE C |
City | ADA |
State | OK |
Zip Code | 74820-4072 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
Find all providers in zip 74820 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619284155 | Jon M Humphers | Podiatrist | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2010-09-03 |
1285801282 | Melissa Lynn Adams | Podiatrist | 1921 Stonecipher Dr, Ada, OK 74820 | 2008-05-09 |
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 |
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 |
1760754428 | Meridian Family Foot and Ankle Clinic Pllc | Podiatrist | 13301 N. Meridian, Suite 701, Okc, OK 73120-8357 | 2012-01-27 |
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.