Blackwell Feet Plus, L.L.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1532 Issued in OK

Legal business name

BLACKWELL FEET PLUS, L.L.C.

Practice address

118 S 1St St
Suite B
Blackwell, OK 74631-2830

Phone

(580) 363-7255

Fax

(580) 363-7265

NPI assigned

Dec 31, 2007

Last updated

Dec 31, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kathy Carter Boss, B.A.

Title

Owner

Phone

(918) 762-3601

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gordon P Laird, D.O.

  • Family Medicine Physician
  • Pawnee, OK
  • NPI 1619954088
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1003091810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S 1ST ST",
            "address_2": "SUITE B",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746312830",
            "telephone_number": "580-363-7255",
            "fax_number": "580-363-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S 1ST ST",
            "address_2": "SUITE B",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746312830",
            "telephone_number": "580-363-7255",
            "fax_number": "580-363-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKWELL FEET PLUS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "BOSS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-762-3601",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "1532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bedlam Properties, LLC (Blackwell Nursing Home)
• Clark Bishop, PHARMD
• Blackwell Dentistry
• Blackwell Family Chiropractic Inc PC
• Blackwell Family Medicine LLC
• Blackwell Hma LLC (AllianceHealth Blackwell)
• Blackwell Hma LLC (AllianceHealth Blackwell)
• Blackwell HMPN, LLC
• Blackwell HMPN, LLC (Blackwell Regional Hospital)
• Blackwell HMPN, LLC (Blackwell Medical Group)

• Clinic/Center in Blackwell, OK
• Providers in Blackwell, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.