DR. BROOKE KELLEY STOUGH (NPI# 1376794776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376794776 |
Entity Type | Individual |
Full Name | DR. BROOKE KELLEY STOUGH |
Credential | D.P.M. |
Practice Address |
314 E Owen K Garriott Rd Enid OK 73701-5712 |
Mailing Address |
Po Box 3046 Malvern PA 19355-0746 |
Practice Telephone | 5802493929 |
Practice Fax Number | 5802343301 |
Mailing Telephone | 5802493929 |
Enumeration Date | 2008-10-02 |
Last Update Date | 2019-08-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
297 | OK | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200441760A | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1717 N 4th St Ste 102, Ponca City, OK 746012749 | 5807494729 |
Street Address |
314 E OWEN K GARRIOTT RD |
City | ENID |
State | OK |
Zip Code | 73701-5712 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497932404 | Martha Susan Moore | Registered Nurse | 314 E Owen K Garriott Rd, Enid, OK 73701 | 2008-01-22 |
1740603265 | St. Mary's Physician Associates, LLC | Durable Medical Equipment & Medical Supplies | 314 E Owen K Garriott Rd, Enid, OK 73701-5712 | 2014-02-04 |
1003043423 | James Daniel Stough | Podiatrist | 314 E Owen K Garriott Rd, Enid, OK 73701-5712 | 2009-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407318595 | Sheila Watkins | Speech-Language Pathologist | 401 S. 3rd St, Physical Therapy, Enid, OK 73701 | 2019-04-05 |
1225548993 | Mirannda Lea Shourek | Case Manager/Care Coordinator | 3225 E Randolph, Apt 5a, Enid, OK 73701 | 2017-10-06 |
1962942045 | Nicole Elisibeth Hood | Social Worker | 605 W. Oxford St, Enid, OK 73701 | 2017-03-08 |
1689027237 | Amanda Partridge | Physician Assistant | 231 S. 30th St., Enid, OK 73701 | 2016-07-19 |
1134576952 | Keli Lanee Caffey | Counselor | 317 W. Cherokee Suite B, Enid, OK 73701 | 2016-05-22 |
1447670559 | Tamica Webster | Counselor | 1137 Hillside Dr, Enid, OK 73701 | 2014-04-16 |
1881024024 | Misty Ward | Registered Nurse | 600 S. Monroe, Enid, OK 73701 | 2013-11-26 |
1164856944 | Pharmcareok of Enid, Inc. | Pharmacy | 1119a E Owen Garriott Rd, Enid, OK 73701 | 2013-08-28 |
1922383421 | Bobby Doyle Taylor | Pharmacist | 902 West Garriott, Enid, OK 73701 | 2011-10-15 |
1194009324 | Stacia Paul | Counselor | 121 W. Maple, Enid, OK 73701 | 2011-10-06 |
Find all providers in zip 73701 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699019869 | Brooke K Stough Dpm | Podiatrist | 1113 Winchester Ave, Enid, OK 73703-8401 | 2012-11-12 |
1376916742 | Ankle and Foot Clinic of Enid, LLC | Podiatrist | 915 E Garriott Rd, Suite J, Enid, OK 73701-6156 | 2015-11-07 |
1851648265 | Integris Rural Health, Inc. | Podiatrist | 915 E Garriott Rd, Suite I, Enid, OK 73701-6154 | 2012-08-06 |
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 |
1760754428 | Meridian Family Foot and Ankle Clinic Pllc | Podiatrist | 13301 N. Meridian, Suite 701, Okc, OK 73120-8357 | 2012-01-27 |
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.