SOUTHERN OKLAHOMA PODIATRY SERVICES PLLC (NPI# 1932258613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932258613 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OKLAHOMA PODIATRY SERVICES PLLC |
| Other Organization Name | ARDMORE FOOT AND ANKLE CLINIC |
| Practice Address |
2002 12th Ave Nw Suite F Ardmore OK 73401-1227 |
| Practice Telephone | 5802230718 |
| Practice Fax Number | 5802230719 |
| Mailing Telephone | 5802230718 |
| Mailing Fax Number | 5802230719 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | LLOYD B LANDIS (OWNER) |
| Authorized Official Telephone | 5802230718 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
OK | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200281600A | 05 |
| Other Name | Type Code |
|---|---|
| Ardmore Foot and Ankle Clinic | Other Name - Individual/Organization |
| Street Address |
2002 12TH AVE NW SUITE F |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515474 | Bryan Eliot Shapiro | Anesthesiology | 2002 12th Ave Nw, Suite C, Ardmore, OK 73401-1206 | 2005-08-15 |
| 1164756235 | Angela Donnice Amparano | Nurse Practitioner | 2002 12th Ave Nw, Ardmore, OK 73401-1227 | 2009-09-23 |
| 1326281106 | Nicole Elkins | Physician Assistant | 2002 12th Ave Nw, Suite D, Ardmore, OK 73401-1227 | 2009-04-09 |
| 1376709907 | Ardmore Regional Surgery Center, LLC | Clinic/Center | 2002 12th Ave Nw, Suite C, Ardmore, OK 73401-1227 | 2008-08-04 |
| 1699974840 | Frederick Alan Dorroh Md PC | Surgery | 2002 12th Ave Nw, Ste E, Ardmore, OK 73401-1227 | 2007-07-17 |
| 1760561351 | John Thomas Paul | Physician Assistant | 2002 12th Ave Nw, Suite B, Ardmore, OK 73401-1206 | 2006-11-03 |
| 1043301153 | James Q. Mcclelland, Dpm, Ppc | Podiatrist | 2002 12th Ave Nw, Suite F, Ardmore, OK 73401-1227 | 2006-09-27 |
| 1376652032 | W M Parker,pc | Obstetrics & Gynecology | 2002 12th Ave Nw, Ste E, Ardmore, OK 73401-1227 | 2006-08-29 |
| 1861506032 | Mary Riley Parker | Obstetrics & Gynecology | 2002 12th Ave Nw, Ste E, Ardmore, OK 73401-1227 | 2006-08-18 |
| 1376656546 | Southern Oklahoma Multiple Services Inc P C | Orthopaedic Surgery | 2002 12th Ave Nw, Suite B, Ardmore, OK 73401-1206 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740596899 | Anthony Charles Cook | Podiatrist | 121 Coulter Ave, Suite 109, Ardmore, PA 19003-2418 | 2010-08-27 |
| 1043301153 | James Q. Mcclelland, Dpm, Ppc | Podiatrist | 2002 12th Ave Nw, Suite F, Ardmore, OK 73401-1227 | 2006-09-27 |
| 1376511204 | Franklin D Cooper II | Podiatrist | 2002 12th Ave Nw, Suite F, Ardmore, OK 73401-1227 | 2006-03-08 |
| 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 |
| 1699019869 | Brooke K Stough Dpm | Podiatrist | 1113 Winchester Ave, Enid, OK 73703-8401 | 2012-11-12 |
| 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.