KENNETH RONALD GOLDA (NPI# 1649368721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649368721 |
| Entity Type | Individual |
| Full Name | KENNETH RONALD GOLDA |
| Credential | DPM |
| Practice Address |
1522 Sw 89th Street Oklahoma City OK 73159 |
| Practice Telephone | 4056916694 |
| Practice Fax Number | 4056916404 |
| Mailing Telephone | 4056916694 |
| Mailing Fax Number | 4056916404 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 145 | OK | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1522 SW 89TH STREET |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849528 | Mel Vision LLC | Optometrist | 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 | 2020-10-20 |
| 1053959247 | Phillip J Elassal Dds Pllc | Clinic/Center | 1601 Sw 89th Street #g500, Oklahoma City, OK 73159 | 2019-12-18 |
| 1629573407 | Carrie Lynn Sanchez | Case Manager/Care Coordinator | 2604 Sw 92nd Street, Oklahoma City, OK 73159 | 2018-03-26 |
| 1407368038 | Deborah Dorton | Psychologist | Okc Va Hcs (111a), 921 Ne 13th St, Oklahoma City, OK 73159 | 2017-11-06 |
| 1366969933 | Matthew Lewis Hearne | Case Manager/Care Coordinator | 7504 S Country Club Dr, Apt 105, Oklahoma City, OK 73159 | 2017-08-24 |
| 1043766405 | Pro Hearing, LLC | Clinic/Center | 10404 S Pennsylvania Ave, Oklahoma City, OK 73159 | 2016-08-26 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1235511288 | Anusha Koneru | Dentist | 1610 W Interstate 240 Service Road, Oklahoma City, OK 73159 | 2015-06-26 |
| 1114347069 | Crystal A Dockery | Family Medicine | 3212 Sw 89th St Ste 100, Oklahoma City, OK 73159 | 2014-04-18 |
| 1790121440 | Kimberly Anne Dyer | Occupational Therapy Assistant | 5725 S Ross, Oklahoma City, OK 73159 | 2013-05-21 |
| Find all providers in zip 73159 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518327089 | Mathew James Johnstone | Podiatrist | 1000 N Lincoln Blvd Ste 3400, Oklahoma City, OK 73104-3252 | 2016-02-26 |
| 1073871265 | Benjamin Beecher Harkess | Podiatrist | 4140 W Memorial Rd Ste 421, Oklahoma City, OK 73120-8300 | 2012-04-25 |
| 1871863258 | Oklahoma Senior Podiatry Services, P.C. | Podiatrist | 3208 Brush Creek Rd., Oklahoma City, OK 73120-1852 | 2012-01-03 |
| 1962566307 | David Q Le | Podiatrist | 9315 S Pennsylvania Ave Ste A, Oklahoma City, OK 73159-6913 | 2006-12-20 |
| 1235235094 | David G Wade Dpm | Podiatrist | 5401 N Portland Ave Ste 390, Oklahoma City, OK 73112-2082 | 2006-09-16 |
| 1003809583 | Terry M Nayfa | Podiatrist | 3612 Nw 50th St, Oklahoma City, OK 73112-5642 | 2005-08-30 |
| 1609869494 | Richard Joseph Traczyk II | Podiatrist | 13921 N. Meridian Avenue, Suite 203, Oklahoma City, OK 73134-1104 | 2005-08-26 |
| 1548261050 | David Carl Cavallaro | Podiatrist | 9315 S Pennsylvania Ave, Ste A, Oklahoma City, OK 73159-6940 | 2005-08-09 |
| 1548269459 | Darren Dean Elenburg | Podiatrist | 609 W Memorial Rd, Oklahoma City, OK 73114-2006 | 2005-07-21 |
| 1336145887 | James Murray Flynn | Podiatrist | 5100 N Brookline Ave, Ste 375, Oklahoma City, OK 73112-3628 | 2005-06-21 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73159 |
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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.