DR. DARREN DEAN ELENBURG (NPI# 1548269459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548269459 |
| Entity Type | Individual |
| Full Name | DR. DARREN DEAN ELENBURG |
| Credential | DPM |
| Practice Address |
609 W Memorial Rd Oklahoma City OK 73114-2006 |
| Practice Telephone | 4054182676 |
| Practice Fax Number | 4054182677 |
| Mailing Telephone | 4054182676 |
| Mailing Fax Number | 4054182677 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 226 | OK | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
226 | OK | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200120470A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3705 Nw 63rd St, Ste 200, Oklahoma City, OK 731161935 | 4054636700 | 4054630020 |
| 507 Ne 12th St, Moore, OK 731602006 | 4052379955 |
| Street Address |
609 W MEMORIAL RD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73114-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476819 | Saints Medical Group, LLC | Family Medicine | 609 W Memorial Rd, Oklahoma City, OK 73114-2006 | 2020-01-11 |
| 1053961185 | Morgan Eyecare, Pllc | Clinic/Center | 609 W Memorial Rd, Oklahoma City, OK 73114-2006 | 2019-09-20 |
| 1265992978 | All Things Through Christ, LLC | Family Medicine | 609 W Memorial Rd, Oklahoma City, OK 73114-2006 | 2019-03-20 |
| 1609331891 | Onesource Practitioners, LLC | Family Medicine | 609 W Memorial Rd, Oklahoma City, OK 73114-2006 | 2019-02-01 |
| 1821561770 | Karen Brown | Nurse Practitioner | 609 W Memorial Rd, Oklahoma City, OK 73114-2006 | 2019-01-03 |
| 1205336187 | Ingrid W. Jackson Md | Family Medicine | 609 W Memorial Rd, Oklahoma City, OK 73114-2006 | 2018-02-16 |
| 1407355324 | Hebrewselevenone LLC | Pediatrics | 609 W Memorial Rd, Oklahoma City, OK 73114-2006 | 2018-02-06 |
| 1467950519 | Kimberly Bryan | Family Medicine | 609 W Memorial Rd, Oklahoma City, OK 73114-2006 | 2018-01-24 |
| 1174057624 | Chad Michael Knight | Podiatrist | 609 W Memorial Rd, Oklahoma City, OK 73114-2006 | 2017-04-11 |
| 1720449598 | Frey Orthopedics, Pllc | Orthopaedic Surgery | 609 W Memorial Rd, Oklahoma City, OK 73114-2006 | 2016-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124669783 | Heather Williams | Occupational Therapist | 1404 Nw122nd St, Oklahoma City, OK 73114 | 2019-10-04 |
| 1477194033 | Shonta Jones | Technician | 10723 Norh Western, Apartment G, Oklahoma City, OK 73114 | 2019-10-04 |
| 1023537644 | Tracye Carter | Registered Nurse | 812 Nw 121 Terr, Oklahom City, OK 73114 | 2017-09-14 |
| 1003362849 | Randy Joshua Williamson | Behavioral Analyst | 101 Bainbridge Rd, Oklahoma City, OK 73114 | 2016-08-31 |
| 1427413368 | John Adrian Howard | Physical Therapist | 13100 N Western Ave Ste 302, Oklahoma City, OK 73114 | 2015-12-18 |
| 1497150197 | Payam Ishani Afousi | Dentist | 9405 N. Penn Place, Casady Square, Oklahoma City, OK 73114 | 2014-10-24 |
| 1922407386 | Kelvin Hughes | Counselor | 1400 Nw 105th Ter, Oklahoma City, OK 73114 | 2014-08-21 |
| 1285056887 | Malarie Jackson | Nurse Practitioner | 609 W. Memorial Rd., Oklahoma City, OK 73114 | 2014-01-16 |
| 1508108705 | Adam Liberty | Community/Behavioral Health | 428 N.w 81st, Oklahoma City, OK 73114 | 2013-03-26 |
| 1780926345 | Michelle D Hardimon | Behavioral Analyst | 700 Ne 122nd Apt 4509, Oklahoma City, OK 73114 | 2013-03-21 |
| Find all providers in zip 73114 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 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 |
| 1548576960 | Red Earth Foot and Ankle Inc. | Podiatrist | 13316 South Western, Suite I, Oklahoma City, OK 73170 | 2010-08-23 |
| 1124346473 | Nicholas B Plants | Podiatrist | 9315 S. Pennsylvania Ave, Suite A, Oklahoma City, OK 73159-6913 | 2010-05-12 |
| 1891931374 | Rick Traczyk II Dpm PC | Podiatrist | 13921 N Meridian Ave Ste 203, Oklahoma City, OK 73134-1104 | 2009-01-05 |
| 1598932899 | Henry M. Asin | Podiatrist | 5401 N Portland Ave Ste 395, Oklahoma City, OK 73112-2089 | 2008-05-15 |
| 1871627315 | Dr. David C. Cavallaro, D.p.m., Inc. | Podiatrist | 7370 S Walker Ave, Oklahoma City, OK 73139-7628 | 2007-03-15 |
| 1306827894 | Peter Quoc Le | Podiatrist | 2201 N Meridian Ave, Oklahoma City, OK 73107-2629 | 2005-11-10 |
| 1982606331 | Michael K Wilson | Podiatrist | 1126 Sw 89th St, Oklahoma City, OK 73139-9104 | 2005-08-15 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73114 |
Please comment or provide details below to improve the information on DR. DARREN DEAN ELENBURG.
| 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.