ANKLE AND FOOT CLINIC OF ENID, LLC (NPI# 1376916742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376916742 |
Entity Type | Organization |
Organization Name | ANKLE AND FOOT CLINIC OF ENID, LLC |
Practice Address |
915 E Garriott Rd Suite J Enid OK 73701-6156 |
Practice Telephone | 5802975184 |
Practice Fax Number | 5802975187 |
Mailing Telephone | 5802975184 |
Mailing Fax Number | 5802975187 |
Enumeration Date | 2015-11-07 |
Last Update Date | 2015-11-07 |
Authorized Official Name | DR. EDWARD ALEXANDER LEBRIJA (PODIATRIST) |
Authorized Official Telephone | 5802975184 |
Authorized Official Credential | D.P.M. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
304 | OK | Podiatric Medicine & Surgery Service Providers |
Street Address |
915 E GARRIOTT RD SUITE J |
City | ENID |
State | OK |
Zip Code | 73701-6156 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700885845 | Christie J Peeper | Physician Assistant | 915 E Garriott Rd, Suite D, Enid, OK 73701-6156 | 2005-07-20 |
1720419179 | Osu Center for Health Sciences | Clinic/Center | 915 E Garriott Rd, Suite B, Enid, OK 73701-6156 | 2013-12-11 |
1871937847 | Charles A Jantzen | Family Medicine | 915 E Garriott Rd, Suite A, Enid, OK 73701-6156 | 2013-04-22 |
1851648265 | Integris Rural Health, Inc. | Podiatrist | 915 E Garriott Rd, Suite I, Enid, OK 73701-6154 | 2012-08-06 |
1629337381 | Integris Rural Health Inc. | Family Medicine | 915 E Garriott Rd, Suite B, Enid, OK 73701-6153 | 2012-05-15 |
1609157064 | Integris Rural Health, Inc | Family Medicine | 915 E Garriott Rd, Suite K, Enid, OK 73701-6156 | 2011-08-30 |
1053547950 | Aaron Scott Sizelove | Family Medicine | 915 E Garriott Rd, Suite B, Enid, OK 73701-6153 | 2009-06-05 |
1710113121 | Integris Rural Health, Inc. | Family Medicine | 915 E Garriott Rd, Suite G, Enid, OK 73701-6156 | 2009-06-01 |
1598845000 | Dielrx | Pharmacy | 915 E Garriott Rd, Enid, OK 73701-6156 | 2006-10-17 |
1053327486 | Bass Memorial Baptist Hospital Dba Integris Bass Baptist Health Center | Clinic/Center | 915 E Garriott Rd, Suite D, Enid, OK 73701-6156 | 2006-07-31 |
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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 |
1851648265 | Integris Rural Health, Inc. | Podiatrist | 915 E Garriott Rd, Suite I, Enid, OK 73701-6154 | 2012-08-06 |
1376794776 | Brooke Kelley Stough | Podiatrist | 314 E Owen K Garriott Rd, Enid, OK 73701-5712 | 2008-10-02 |
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 |
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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.