Active NPI
Limb Salvage International, Inc
- Foot & Ankle Surgery Podiatrist
- Ponca City, OK
National Provider Identifier
1154657948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 201
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 23029 | OK | |
| Foot & Ankle Surgery Podiatrist | 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)
National Provider Directory
National Provider DirectoryLocations
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.