OKLAHOMA MOBILE PODIATRY SERVICES LLC (NPI# 1699339804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699339804 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA MOBILE PODIATRY SERVICES LLC |
| Practice Address |
3001 S Telephone Rd Moore OK 73160-2942 |
| Mailing Address |
2615 Meadow View Rd Edmond OK 73013-7855 |
| Practice Telephone | 4054716190 |
| Mailing Telephone | 4055621952 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Authorized Official Name | JOHN DUCK (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4054716190 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
3001 S TELEPHONE RD |
| City | MOORE |
| State | OK |
| Zip Code | 73160-2942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334967 | Gordon James Bean | Podiatrist | 3001 S Telephone Rd, Ste B, Moore, OK 73160-5424 | 2005-05-27 |
| 1326225509 | Larry D Leemaster | Dentist | 3001 S Telephone Rd, Suite A, Moore, OK 73160-2942 | 2008-01-30 |
| 1982881173 | Gordon J Bean Dpm Inc | Durable Medical Equipment & Medical Supplies | 3001 S Telephone Rd, Ste B, Moore, OK 73160-5424 | 2008-01-30 |
| 1700903101 | Oklahoma Foot and Ankle Associates Pllc | Podiatrist | 3001 S Telephone Rd, Suite B, Moore, OK 73160-5423 | 2007-03-23 |
| 1881675213 | Scott E Morris | Podiatrist | 3001 S Telephone Rd, Ste B, Moore, OK 73160-2942 | 2005-11-11 |
| 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 | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235677121 | Brayderik Consulting | Podiatrist | 1607 S Muskogee Ave Ste C, Tahlequah, OK 74464-5440 | 2017-02-10 |
| 1669799441 | Patrick Paul Branagan | Podiatrist | 101 Rockefeller Dr Ste 204, Muskogee, OK 74401-5050 | 2010-05-03 |
| 1669642351 | John James Ditmars, Jr. Dpm PC | Podiatrist | 47 N Kimbell Rd, Yukon, OK 73099-2251 | 2008-03-10 |
| 1043496409 | John Andrew Maupin Jr. | Podiatrist | 705 Nw 57th St, Oklahoma City, OK 73118-5905 | 2008-01-16 |
| 1073511648 | Maureen Lee Crotty | Podiatrist | 3627 S Harvard Ave, Tulsa, OK 74135-2227 | 2005-07-08 |
| 1013915701 | Jeff Robert Finkenstaedt | Podiatrist | 3540 East 31st, Suite 2, Tulsa, OK 74135-1526 | 2005-07-07 |
| 1629072376 | Clifford D. Mcentire | Podiatrist | 1700 Exchange Ave, Oklahoma City, OK 73108-3021 | 2005-06-10 |
| 1588184014 | Newstep Plc | Podiatrist | 9306 S Toledo Ct Ste 200, Tulsa, OK 74137-2746 | 2017-06-26 |
| 1508117698 | Glacier Podiatry Clinics LLC | Podiatrist | 416 W 15th St, Suite 400b, Edmond, OK 73013-3747 | 2012-09-28 |
| 1407025323 | John K Cauthon D P M | Podiatrist | 1314 N Harville Rd, Duncan, OK 73533-1514 | 2008-02-25 |
| 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.