FOOT & ANKLE SURGEONS OF OKLAHOMA PLLC (NPI# 1558621342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558621342 |
| Entity Type | Organization |
| Organization Name | FOOT & ANKLE SURGEONS OF OKLAHOMA PLLC |
| Practice Address |
13100 N Western Ave Ste 200 Oklahoma City OK 73114-1431 |
| Mailing Address |
Po Box 268996 Oklahoma City OK 73126-8996 |
| Practice Telephone | 4054184500 |
| Practice Fax Number | 4054184501 |
| Mailing Telephone | 4054184500 |
| Mailing Fax Number | 4054184501 |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2017-10-18 |
| Authorized Official Name | CHRISTOPHER J. GREEN (PRESIDENT) |
| Authorized Official Telephone | 4054184500 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
290 | OK | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200434410A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1639784176 | Foot & Ankle Surgeons of Oklahoma Pllc | Podiatrist | 2100 W Iowa Ave, Chickasha, OK 73018-2736 | 2020-09-11 |
| 1982232377 | Foot & Ankle Surgeons of Oklahoma Pllc | Podiatrist | 1627 N Kickapoo Ave, Shawnee, OK 74804-4313 | 2020-03-31 |
| 1962747444 | Foot & Ankle Surgeons of Oklahoma Pllc | Podiatrist | 4221 S Western Ave, #4020, Oklahoma City, OK 73109-3447 | 2012-12-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FOOT & ANKLE SURGEONS OF OKLAHOMA PLLC | 13100 N Western Ave # 200, Oklahoma City, OK 73114-1431 |
| Street Address |
13100 N WESTERN AVE STE 200 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73114-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962323 | Zane E Uhland | Orthopaedic Surgery | 13100 N Western Ave Ste 200, Oklahoma City, OK 73114-1431 | 2005-06-17 |
| 1700235645 | Elite Pain & Health PC | Pain Medicine | 13100 N Western Ave Ste 200, Oklahoma City, OK 73114-1431 | 2016-06-10 |
| 1073967378 | Alaina Janae Jones | Podiatrist | 13100 N Western Ave Ste 200, Oklahoma City, OK 73114 | 2016-04-22 |
| 1871958009 | Tiffany Ogden | Nurse Practitioner | 13100 N Western Ave Ste 200, Oklahoma City, OK 73114-1431 | 2015-12-14 |
| 1477825164 | Jeremy S Cheatwood | Physician Assistant | 13100 N Western Ave Ste 200, Oklahoma City, OK 73114-1431 | 2012-01-27 |
| 1639468648 | Ryne Shafer | Chiropractor | 13100 N Western Ave Ste 200, Oklahoma City, OK 73114-1431 | 2011-03-30 |
| 1528389376 | Corey E. Mayo D.o. Pllc | Orthopaedic Surgery | 13100 N Western Ave Ste 200, Oklahoma City, OK 73114-1431 | 2010-06-16 |
| 1831357417 | Christopher James Green | Podiatrist | 13100 N Western Ave Ste 200, Oklahoma City, OK 73114-1431 | 2008-05-29 |
| 1073675849 | Oklahoma City Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 13100 N Western Ave Ste 200, Oklahoma City, OK 73114-1431 | 2006-12-15 |
| 1023122124 | Timothy D Thomas | Podiatrist | 13100 N Western Ave Ste 200, Oklahoma City, OK 73114-1431 | 2006-08-18 |
| 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 FOOT & ANKLE SURGEONS OF OKLAHOMA PLLC.
| 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.