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MERIDIAN CLINIC INC NPI 1174767933


NPI Information

NPI: 1174767933
Provider Name: MERIDIAN CLINIC, INC

Doing Business As: PETER QUOC LE

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2201 N MERIDIAN AVE
OKLAHOMA CITY, OK
ZIP 73107
Phone: (405) 943-9820
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MERIDIAN CLINIC, INC is a foot and ankle surgery podiatrist in Oklahoma City, OK. MERIDIAN CLINIC, INC NPI is 1174767933. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Peter Quoc Le.

The provider's business location address is:

2201 N MERIDIAN AVE
OKLAHOMA CITY, OK
ZIP 73107-629
Phone: (405) 943-9820
Fax: (405) 947-6908

The provider's authorized official is Peter Quoc Le .
The authorized official title is Owner and has the following contact phone number (405) 943-9820.

The enumeration date for this NPI number is 4/23/2009 and was last updated on 4/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryPOD209OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHEROKLAHOMACIGNA GOVERNMENT
2=========MEDICARE PIN
3U81595MEDICARE UPINOKLAHOMA
4100780320BMEDICAIDOKLAHOMA
56319270001MEDICARE PINOKLAHOMA
66319270001MEDICARE NSC
7445769340MEDICARE PINOKLAHOMA
86319270001OTHEROKLAHOMACIGNA GOVERNMENT
9=========MEDICARE PINOKLAHOMA
10100780320AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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