FOOT & ANKLE SURGEONS OF OKLAHOMA PLLC (NPI# 1982232377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982232377 |
| Entity Type | Organization |
| Organization Name | FOOT & ANKLE SURGEONS OF OKLAHOMA PLLC |
| Practice Address |
1627 N Kickapoo Ave Shawnee OK 74804-4313 |
| 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 | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Authorized Official Name | CHRISTOPHER JAMES 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 |
Podiatric Medicine & Surgery Service Providers |
| 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 |
| 1962747444 | Foot & Ankle Surgeons of Oklahoma Pllc | Podiatrist | 4221 S Western Ave, #4020, Oklahoma City, OK 73109-3447 | 2012-12-10 |
| 1558621342 | Foot & Ankle Surgeons of Oklahoma Pllc | Podiatrist | 13100 N Western Ave Ste 200, Oklahoma City, OK 73114-1431 | 2012-05-25 |
| 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 |
1627 N KICKAPOO AVE |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-4313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699757336 | William Keith Smith Jr. | Podiatrist | 1627 N Kickapoo Ave, Shawnee, OK 74804-4313 | 2005-11-17 |
| 1376676494 | Smith Podiatric Services Pllc | Podiatrist | 1627 N Kickapoo Ave, Shawnee, OK 74804-4313 | 2007-03-14 |
| 1629050364 | William Keith Smith Sr. | Podiatrist | 1627 N Kickapoo Ave, Shawnee, OK 74804-4313 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| 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 |
| 1699757336 | William Keith Smith Jr. | Podiatrist | 1627 N Kickapoo Ave, Shawnee, OK 74804-4313 | 2005-11-17 |
| 1376676494 | Smith Podiatric Services Pllc | Podiatrist | 1627 N Kickapoo Ave, Shawnee, OK 74804-4313 | 2007-03-14 |
| 1629050364 | William Keith Smith Sr. | Podiatrist | 1627 N Kickapoo Ave, Shawnee, OK 74804-4313 | 2005-11-17 |
| 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 |
| 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 |
| 1699019869 | Brooke K Stough Dpm | Podiatrist | 1113 Winchester Ave, Enid, OK 73703-8401 | 2012-11-12 |
| 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.