SOUTHERN OKLAHOMA PODIATRY SERVICES PLLC NPI 1932258613

NPI Information

  • NPI: 1932258613
  • Provider Name: SOUTHERN OKLAHOMA PODIATRY SERVICES PLLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Other Name: ARDMORE FOOT AND ANKLE CLINIC
  • Address: 2002 12TH AVE NW
    SUITE F
    ARDMORE, OK
    ZIP 73401
  • Phone: (580) 223-0718

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NPI Details

SOUTHERN OKLAHOMA PODIATRY SERVICES PLLC is a foot and ankle surgery podiatrist in Ardmore, OK. SOUTHERN OKLAHOMA PODIATRY SERVICES PLLC NPI is 1932258613. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Ardmore Foot And Ankle Clinic.

The provider's business location address is:

2002 12TH AVE NW
SUITE F
ARDMORE, OK
ZIP 73401-227
Phone: (580) 223-0718
Fax: (580) 223-0719

The provider's authorized official is Lloyd B Landis .
The authorized official title is Owner and has the following contact phone number (580) 223-0718.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 7/29/2020.

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
1213ES0103XPodiatristFoot & Ankle SurgeryOKLAHOMAYes

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
1200281600AMEDICAIDOKLAHOMA

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: 11/21/2025

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