Northeastern Foot Care PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

NORTHEASTERN FOOT CARE PLLC

Practice address

217 N Muskogee
Tahlequah, OK 74464

Phone

(918) 456-3222

Fax

(918) 456-3196

NPI assigned

Jun 14, 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) 458-9888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093758237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE PLAZA SOUTH",
            "address_2": "PMB 317",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "74464",
            "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": "217 N MUSKOGEE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "74464",
            "telephone_number": "918-456-3222",
            "fax_number": "918-456-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN FOOT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "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": "918-458-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Clayton Nolan, D.O.
• Macee Nolan, M.S. CCC-SLP
• Phyllis Carol Nolan, D.O.
• Northeast Oklahoma Cancer Center LLC
• Northeast Oklahoma Wellness Clinic LLC
• Northeastern Health System
• Northeastern Health System
• Northeastern Health System
• Northeastern Health System
• Northeastern Health System

• Podiatrist in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Podiatrist 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.