NPIMap

Organization Active NPI

Metro Tulsa Foot & Ankle Specialist PLLC

  • Foot & Ankle Surgery Podiatrist
  • Tulsa, OK
National Provider Identifier
1174610315
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
186 Issued in OK
Legal business name
METRO TULSA FOOT & ANKLE SPECIALIST PLLC
Practice address
5711 E 71St St
Suite 115
Tulsa, OK 74136-6628
Phone
(918) 494-2902
Fax
(918) 494-2905
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Dr. Steven Brian Smith, DPMNPI 1558477927
Title
Owner
Phone
(918) 494-2902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 186 OK Primary

Addresses

Primary practice location

5711 E 71St St
Suite 115
Tulsa, OK 74136-6628

Mailing address

5711 E 71St St
Suite 115
Tulsa, OK 74136-6628
Phone (918) 494-2902

Other identifiers 1

IdentifierTypeStateIssuer
100685820CMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930030938 OK DME Supplier - Physician - Podiatry 1759293046 Practice locations: Tulsa, OK

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Metro Tulsa Foot Ankl5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

10229 E 96th St N
Ste 100
Owasso, OK 74055
Phone (918) 272-8920

5711 E 71st St
Ste 115
Tulsa, OK 74136
Phone (918) 294-3668

5711 E 71st St
Ste 220
Tulsa, OK 74136

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1174610315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 E 71ST ST",
            "address_2": "SUITE 115",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366628",
            "telephone_number": "918-494-2902",
            "fax_number": "918-494-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 E 71ST ST",
            "address_2": "SUITE 115",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366628",
            "telephone_number": "918-494-2902",
            "fax_number": "918-494-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO TULSA FOOT & ANKLE SPECIALIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-494-2902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100685820C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.