Foot and Ankle Specialists of Green Country
Organization Active NPI Podiatrist · Beggs, OK
NPI 1003606682 · NPPES record last updated May 8, 2025
Key facts
- NPI
- 1003606682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- FOOT AND ANKLE SPECIALISTS OF GREEN COUNTRY
- Practice address
- 11348 251St St
Beggs, OK 74421-2354 - Phone
- (918) 852-2642
- NPI assigned
- May 8, 2025
- Organization subpart
- No
Authorized official
- Name
- Dr. Ruben Delacruz, D.P.M.
- Title
- Owner
- Phone
- (918) 852-2642
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250902003015 | OK | Part B Supplier - Clinic/Group Practice | 7315448156 |
Receives reassigned benefits from 1 practitioner Practice locations: Beggs, OK |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | Yes |
Addresses
Primary practice location
11348 251St St
Beggs, OK 74421-2354
Mailing address
PO Box 334
Glenpool, OK 74033-0334
Phone (918) 852-2642
Other providers in Beggs, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.