DR. CHARLES D ANDERSON (NPI# 1790779890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790779890 |
| Entity Type | Individual |
| Full Name | DR. CHARLES D ANDERSON |
| Credential | DPM |
| Practice Address |
817 24th Ave Nw Norman OK 73069-6313 |
| Practice Telephone | 4053609338 |
| Practice Fax Number | 4053661669 |
| Mailing Telephone | 4053609338 |
| Mailing Fax Number | 4053661669 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
190 | OK | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100779900A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 415 W Guy Ave, Pauls Valley, OK 730753200 | 4053293929 | 4053661669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
| 1538608575 | Charles Anderson | Social Worker | 145 W K St, Casper, WY 82601-1018 | 2017-02-22 |
| 1922451194 | Charles Anderson | Counselor | 4250 River Center Ct Ne, Suite D, Cedar Rapids, IA 52402-7546 | 2016-07-22 |
| 1790172013 | Charles Anderson | Marriage & Family Therapist | 825 Webster St Ste D, Fairfield, CA 94533-5522 | 2015-04-24 |
| 1083054274 | Charles Lee Anderson | Dentist | 2240 E Windrow Ave, Fort Huachuca, AZ 85613-7040 | 2013-07-02 |
| 1427390970 | Charles Anderson Iv | Counselor | 1445 Hartford Ter, Alpharetta, GA 30004-0661 | 2013-03-22 |
| 1376896084 | Charles Nolis Anderson | Pharmacist | 17605 S. Halsted Street, Homewood, IL 60430 | 2012-10-18 |
| 1720377179 | Charles E Anderson | Pharmacist | 3030 Market Ave N, Canton, OH 44714-1428 | 2011-04-06 |
| 1831494194 | Charles Robert Anderson | Behavioral Analyst | 1892 Hollow Oak Dr, Kingston, OK 73439-9745 | 2011-01-18 |
| 1255635215 | Charles H. Anderson | Counselor | 631 Spanish Oak Ct, Arlington, TX 76002-4535 | 2011-01-06 |
| Street Address |
817 24TH AVE NW |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-6313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578562476 | Allen Lee Rohde | Podiatrist | 817 24th Ave Nw, Norman, OK 73069-6313 | 2005-07-21 |
| 1861056459 | Carson Foot & Ankle Clinic, LLC | Podiatrist | 817 24th Ave Nw, Norman, OK 73069-6313 | 2019-04-29 |
| 1225480148 | Matthew Carson | Podiatrist | 817 24th Ave Nw, Norman, OK 73069-6313 | 2016-07-02 |
| 1659530939 | Allen L Rohde Dpm | Podiatrist | 817 24th Ave Nw, Norman, OK 73069-6313 | 2008-06-03 |
| 1770785966 | Anderson Foot & Ankle Clinic PC | Podiatrist | 817 24th Ave Nw, Norman, OK 73069-6313 | 2007-06-01 |
| 1548366313 | Ankle & Foot Clinic of Oklahoma Inc | Podiatrist | 817 24th Ave Nw, Norman, OK 73069-6313 | 2006-09-16 |
| 1396744215 | Scott Alan Hosler | Podiatrist | 817 24th Ave Nw, Norman, OK 73069-6313 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215393020 | Scott A. Hosler, D.p.m. | Podiatrist | 4108 Wyckham Pl, Norman, OK 73072-3019 | 2016-01-08 |
| 1861056459 | Carson Foot & Ankle Clinic, LLC | Podiatrist | 817 24th Ave Nw, Norman, OK 73069-6313 | 2019-04-29 |
| 1225480148 | Matthew Carson | Podiatrist | 817 24th Ave Nw, Norman, OK 73069-6313 | 2016-07-02 |
| 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 |
| 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.