Jeff Robert Finkenstaedt, D.P.M.
Individual provider Active NPI Primary Podiatric Medicine Podiatrist · Tulsa, OK
NPI 1013915701 · NPPES record last updated Feb 16, 2010
Key facts
- NPI
- 1013915701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Podiatric Medicine Podiatrist 213EP1101X
- License
- 192 (OK)
- Practice address
- 3540 East 31St
Suite 2
Tulsa, OK 74135-1526 - Phone
- (918) 747-8997
- Fax
- (918) 744-8011
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3540 E 31St St
Suite 2
Tulsa, OK 74135-1526
Phone (918) 747-8997
Hospital & facility affiliations
- Tulsa Spine & Specialty Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 33 |
| Removal of nail tissue | 130 |
| Removal or shaving of skin growth | 40 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091223000108 | OK | Practitioner - Podiatry | 1951205905 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Tulsa Foot & Ankle Center, PLLC | Current |
Accepting new patients | |
| Pawhuska IHS Pharmacy | Past | Accepting new patients | |
| Pawnee IHS Pharmacy | Past |
Accepting new patients |
Locations
3540 E 31st St
Ste 2
Tulsa, OK 74135
Phone (918) 747-8997
Interoperability endpoints
- jeff.finkenstaedt@direct.stjohnhealthsystem.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 192 | OK | Yes |
| Radiology Podiatrist | 213ER0200X | 192 | OK | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 192 | OK |
Addresses
Primary practice location
3540 East 31St
Suite 2
Tulsa, OK 74135-1526
Mailing address
3540 E 31St St
Suite 2
Tulsa, OK 74135-1500
Phone (918) 747-8997
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100780500A | Medicaid | OK |
Other providers in Tulsa, OK
- Ann E Fincher
- Gary William Fincher
- Stephen G Fincher
- Janis R Finer
- Stephanie Louise Fink
- Nautica Finkley
- Finley Spinal Clinic LLC
- Andrew Michael Finley
- Cherisse Finley
- Marissa Finley
All providers in Tulsa, OK · Primary Podiatric Medicine Podiatrist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2010. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.