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OK FOOT & ANKLE SPECIALISTS NPI 1619005865


NPI Information

NPI: 1619005865
Provider Name: OK FOOT & ANKLE SPECIALISTS

Doing Business As: OKLAHOMA FOOT AND ANKLE SPECIALISTS

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
9315 S PENNSYLVANIA AVE
STE A
OKLAHOMA CITY, OK
ZIP 73159
Phone: (405) 691-9004
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OK FOOT & ANKLE SPECIALISTS is a foot and ankle surgery podiatrist in Oklahoma City, OK. OK FOOT & ANKLE SPECIALISTS NPI is 1619005865. The provider is registered as an organization entity type.
The provider Is Doing Business As Oklahoma Foot And Ankle Specialists.

The provider's business location address is:

9315 S PENNSYLVANIA AVE
STE A
OKLAHOMA CITY, OK
ZIP 73159-913
Phone: (405) 691-9004
Fax: (405) 691-9003

The provider's authorized official is Kari L. Johnson .
The authorized official title is Billing/credentialing and has the following contact phone number (405) 691-9004.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 4/20/2017.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2213ES0103XPodiatristFoot & Ankle Surgery289OKLAHOMANo
3213ES0103XPodiatristFoot & Ankle Surgery233OKLAHOMAYes

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
1200330230AMEDICAIDOKLAHOMA
21427206077MEDICARE NSCOKLAHOMA
3900522176MEDICARE PINOKLAHOMA
41962566307MEDICARE NSCOKLAHOMA
5V00296MEDICARE UPINOKLAHOMA
65405430001MEDICARE NSCOKLAHOMA
7200034090BMEDICAIDOKLAHOMA

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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