BROOKE K STOUGH DPM (NPI# 1699019869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699019869 |
| Entity Type | Organization |
| Organization Name | BROOKE K STOUGH DPM |
| Practice Address |
1113 Winchester Ave Enid OK 73703-8401 |
| Practice Telephone | 4052108071 |
| Mailing Telephone | 4052108071 |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2012-11-12 |
| Authorized Official Name | DR. BROOKE KELLEY STOUGH (PODIATRIST/OWNER) |
| Authorized Official Telephone | 4052108071 |
| 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 |
297 | OK | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200441760A | 05 |
| Street Address |
1113 WINCHESTER AVE |
| City | ENID |
| State | OK |
| Zip Code | 73703-8401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902233 | Gena M Ford | Massage Therapist | 2117 W Owen K Garriot, Inside Beyond Beauty, Enid, OK 73703 | 2020-08-11 |
| 1396270351 | Zoom Diagnostic Imaging LLC | Clinic/Center | 1113 West Cherry Ave, Enid, OK 73703 | 2017-04-27 |
| 1083154173 | Amanda Percival, Pllc | Counselor | 1420 W Owen K. Garriott Bldg 1, Enid, OK 73703 | 2017-03-08 |
| 1972934297 | Ty Stroble | Behavioral Analyst | 408 N Oakwood, Apt.13d, Enid, OK 73703 | 2013-12-12 |
| 1801132204 | Ryan Patrick Williams | Dentist | 2510 W Chestnut Ave, Ste A, Enid, OK 73703 | 2012-12-13 |
| 1295094720 | Heather Jeanette Linder | Counselor | 2700 N. Vanburen, Trailer 240, Enid, OK 73703 | 2012-05-03 |
| 1366729477 | Karen Lynn Harris | Counselor | 1625 W. Garriot, Suite F, Enid, OK 73703 | 2011-11-03 |
| 1659666501 | Courtney Michelle Pike | Behavioral Analyst | 1625 West Owen K Garriott Road # F, Enid, OK 73703 | 2011-06-17 |
| 1194040089 | Erin K. Roberts, Dds, Plc | Dentist | 1402 N Van Buren, Enid, OK 73703 | 2010-04-02 |
| 1770812109 | Tabitha Janel Simon | Counselor | 529 North Grand, Enid, OK 73703 | 2009-12-14 |
| Find all providers in zip 73703 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376916742 | Ankle and Foot Clinic of Enid, LLC | Podiatrist | 915 E Garriott Rd, Suite J, Enid, OK 73701-6156 | 2015-11-07 |
| 1851648265 | Integris Rural Health, Inc. | Podiatrist | 915 E Garriott Rd, Suite I, Enid, OK 73701-6154 | 2012-08-06 |
| 1376794776 | Brooke Kelley Stough | Podiatrist | 314 E Owen K Garriott Rd, Enid, OK 73701-5712 | 2008-10-02 |
| 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 |
| 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.