Restoration Foot & Ankle PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

232 Issued in OK

Legal business name

RESTORATION FOOT & ANKLE PLLC

Practice address

800 W Boise Cir
Suite 150
Broken Arrow, OK 74012-4906

Phone

(918) 274-1557

Fax

(918) 274-8557

NPI assigned

Nov 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bradley D Beasley, DPMNPI 1821102823

Title

Owner/Physician

Phone

(918) 274-1557

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Restoration Foot & Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • Broken Arrow, OK
  • NPI 1235462821

  O20080409000131

  Same enrollment

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Restoration Foot & Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • Broken Arrow, OK
  • NPI 1235462821
  NPPES parent name

Practitioners 3

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

• Bradley D. Beasley, DPM

  • Foot & Ankle Surgery Podiatrist
  • Broken Arrow, OK
  • NPI 1821102823
  Medicare reassignment Care Compare group NPD Authorized official
• Shelley L Hogue, DPM

  • Foot & Ankle Surgery Podiatrist
  • Broken Arrow, OK
  • NPI 1215197280
  Medicare reassignment Care Compare group NPD
• Teri Lynn Baker, DPM

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
  • NPI 1215377718

  OK

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1174705602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3500",
            "address_2": "DEPT NO 618",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740183500",
            "telephone_number": "918-274-1557",
            "fax_number": "918-274-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W BOISE CIR",
            "address_2": "SUITE 150",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124906",
            "telephone_number": "918-274-1557",
            "fax_number": "918-274-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION FOOT & ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "918-274-1557",
        "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": "232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remedy Health Direct Primary Care
• Hannah L Rempe
• Renal Treatment Centers West Inc
• Crystal Gail Reneau, APRN-CNP
• Respiratory Works LLC
• Restoration Foot & Ankle PLLC
• Restore Dermatology Clinic LLC
• Restore Home Healthcare of Oklahoma ,LLC
• Restore Therapy and Wellness
• Reusser and Reusser LLC

• Foot & Ankle Surgery Podiatrist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Foot & Ankle Surgery Podiatrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.