Organization Active NPI

Limb Salvage International, Inc

  • Foot & Ankle Surgery Podiatrist
  • Ponca City, OK
National Provider Identifier
1154657948
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
201 Issued in OK
Legal business name
LIMB SALVAGE INTERNATIONAL, INC
Practice address
2210 N 14TH St
Ponca City, OK 74604
Phone
(580) 718-0002
Fax
(580) 718-0003
NPI assigned
Oct 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Authorized official

Name
Juliet C Burk, DPM
Title
Coo
Phone
(918) 931-1425

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 23029 OK
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X 201 OK Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2210 N 14TH St
Ponca City, OK 74604

Mailing address

1 Plaza South St
PMB 140
Tahlequah, OK 74464-4750
Phone (918) 458-9888

Other names 1

  • LSI Clinics (LSI Foot, Shoe, Wound or Orthotics) Doing business as

National Provider Directory

National Provider Directory

Locations

2210 N 14TH St
Ponca City, OK 74604
Phone (580) 718-0002

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1154657948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PLAZA SOUTH ST",
            "address_2": "PMB 140",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744644750",
            "telephone_number": "918-458-9888",
            "fax_number": "918-458-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "74604",
            "telephone_number": "580-718-0002",
            "fax_number": "580-718-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMB SALVAGE INTERNATIONAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "BURK",
        "authorized_official_first_name": "JULIET",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "918-931-1425",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "OK",
            "license": "23029",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "201",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LSI Clinics (LSI Foot, Shoe, Wound or Orthotics)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponca City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.