MUSKOGEE FOOT CLINIC INC. NPI 1568655488

NPI Information

NPI: 1568655488
Provider Name: MUSKOGEE FOOT CLINIC INC.

Former Legal Business Name: MUSKOGEE FOOT CLINIC INC.

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2400 W BROADWAY ST
MUSKOGEE, OK
ZIP 74401
Phone: (918) 687-5171
Get Directions

MUSKOGEE FOOT CLINIC INC. is a foot and ankle surgery podiatrist in Muskogee, OK. MUSKOGEE FOOT CLINIC INC. NPI is 1568655488. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Muskogee Foot Clinic Inc..

The provider's business location address is:

2400 W BROADWAY ST
MUSKOGEE, OK
ZIP 74401-763
Phone: (918) 687-5171
Fax: (918) 687-7150

The provider's authorized official is David Lacy Green .
The authorized official title is Podiatrist and has the following contact phone number (918) 687-5171.

The enumeration date for this NPI number is 8/23/2007 and was last updated on 6/18/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1209610001	MEDICARE NSC	OKLAHOMA

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »