OKLAHOMA SENIOR PODIATRY SERVICES, P.C. (NPI# 1871863258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871863258 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA SENIOR PODIATRY SERVICES, P.C. |
| Other Organization Name | AGGEUS OKLAHOMA PODIATRY SERVICES, P.C. |
| Practice Address |
3208 Brush Creek Rd. Oklahoma City OK 73120-1852 |
| Mailing Address |
10 S Riverside Plz Ste 19 East Chicago IL 60606-3728 |
| Practice Telephone | 8662165518 |
| Practice Fax Number | 3122776757 |
| Mailing Telephone | 7737700140 |
| Mailing Fax Number | 3122776757 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-09-11 |
| Authorized Official Name | WILLIAM K. SMITH SR. (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8662165518 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200444490A | 05 |
| Other Name | Type Code |
|---|---|
| Aggeus Oklahoma Podiatry Services, P.C. | Doing Business As Name - Organization |
| Street Address |
3208 BRUSH CREEK RD. |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-1852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518327089 | Mathew James Johnstone | Podiatrist | 1000 N Lincoln Blvd Ste 3400, Oklahoma City, OK 73104-3252 | 2016-02-26 |
| 1073871265 | Benjamin Beecher Harkess | Podiatrist | 4140 W Memorial Rd Ste 421, Oklahoma City, OK 73120-8300 | 2012-04-25 |
| 1962566307 | David Q Le | Podiatrist | 9315 S Pennsylvania Ave Ste A, Oklahoma City, OK 73159-6913 | 2006-12-20 |
| 1649368721 | Kenneth Ronald Golda | Podiatrist | 1522 Sw 89th Street, Oklahoma City, OK 73159 | 2006-10-11 |
| 1235235094 | David G Wade Dpm | Podiatrist | 5401 N Portland Ave Ste 390, Oklahoma City, OK 73112-2082 | 2006-09-16 |
| 1003809583 | Terry M Nayfa | Podiatrist | 3612 Nw 50th St, Oklahoma City, OK 73112-5642 | 2005-08-30 |
| 1609869494 | Richard Joseph Traczyk II | Podiatrist | 13921 N. Meridian Avenue, Suite 203, Oklahoma City, OK 73134-1104 | 2005-08-26 |
| 1548261050 | David Carl Cavallaro | Podiatrist | 9315 S Pennsylvania Ave, Ste A, Oklahoma City, OK 73159-6940 | 2005-08-09 |
| 1548269459 | Darren Dean Elenburg | Podiatrist | 609 W Memorial Rd, Oklahoma City, OK 73114-2006 | 2005-07-21 |
| 1336145887 | James Murray Flynn | Podiatrist | 5100 N Brookline Ave, Ste 375, Oklahoma City, OK 73112-3628 | 2005-06-21 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
Please comment or provide details below to improve the information on OKLAHOMA SENIOR PODIATRY SERVICES, P.C..
| 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.