Meridian Clinic, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD209 Issued in OK

Legal business name

MERIDIAN CLINIC, INC

Doing business as

peter quoc le

Practice address

2201 N Meridian Ave
Oklahoma City, OK 73107-2629

Phone

(405) 943-9820

Fax

(405) 947-6908

NPI assigned

Apr 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Peter Quoc Le, D.P.MNPI 1306827894

Title

Owner

Phone

(405) 943-9820

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• peter quoc le Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Practitioners 1

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

• Peter Quoc Le, DPM

  • Foot & Ankle Surgery Podiatrist
  • Oklahoma City, OK
  • NPI 1306827894
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1174767933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 N MERIDIAN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072629",
            "telephone_number": "405-943-9820",
            "fax_number": "405-947-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N MERIDIAN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072629",
            "telephone_number": "405-943-9820",
            "fax_number": "405-947-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-943-9820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "POD209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100780320A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100780320B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT",
            "identifier": "6319270001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "peter quoc le",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Rehabilitation Hospital LLC
• Mercy Urgent Medical Center LLC
• Harshitha Mergey Devender, MBBS
• Marci Deann Merideth Parker, BS
• Peesha Nidia Merideth, LD
• Meridian Family Practice, LLC
• Meridian Pharmacy Management Inc
• Autumn Leigh Merilatt Ms, RDN LD MS
• Shirlin Merisier
• Glenda Merkley

• Foot & Ankle Surgery Podiatrist in Oklahoma City, OK
• Providers in Oklahoma City, 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 Apr 29, 2010; 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.