Limb Salvage International

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

202 Issued in OK

Legal business name

LIMB SALVAGE INTERNATIONAL

Practice address

1 Plaza South St PMB 140
Tahlequah, OK 74464-4750

Phone

(918) 458-9888

Fax

(918) 458-9977

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Juliet C Burk, DPM

Title

Owner

Phone

(918) 456-3222

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• LSI Shoe Clinic Doing business as

Tax ID family

Limb Salvage International3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Limb Salvage International

  • Durable Medical Equipment & Medical Supplies
  • Ponca City, OK
  • NPI 1891853222
  NPD tax ID
• Limb Salvage International

  • Health Service Clinic/Center
  • Ponca City, OK
  • NPI 1912173907
  NPD tax ID

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043379365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N MUSKOGEE AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642725",
            "telephone_number": "918-456-3222",
            "fax_number": "918-456-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PLAZA SOUTH ST PMB 140",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744644750",
            "telephone_number": "918-458-9888",
            "fax_number": "918-458-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMB SALVAGE INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURK",
        "authorized_official_first_name": "JULIET",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-456-3222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "201",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "DA7676",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE # DR J BURK",
            "identifier": "P00086097",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR R BURK INDIV RR MEDICA",
            "identifier": "P0071200",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LSI Shoe Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chad Lewman
• Lifelong Wellness Center Inc
• Jenna Marie Lighthizer, O.D.
• Nathan Robert Lighthizer, O.D.
• Lisa Ann Lillard
• Limb Salvage International
• Alan Joseph Linde
• Jaryn Linney
• Jewell Irene Linville, DOCTOR
• Amanda Little

• Durable Medical Equipment & Medical Supplies in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.