Restoration Foot & Ankle PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

RESTORATION FOOT & ANKLE PLLC

Practice address

800 W Boise Circle
Suite 270
Broken Arrow, OK 74012

Phone

(918) 274-1557

Fax

(918) 274-8557

NPI assigned

Sep 14, 2009

Last updated

Mar 14, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

RESTORATION FOOT & ANKLE PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Bradley D Bealsey, DPM

Title

Physician/Owner

Phone

(918) 274-1557

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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 1174705602

  O20080409000131

  Same enrollment

Part of

Restoration Foot Ankle PLLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Restoration Foot & Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • Broken Arrow, OK
  • NPI 1174705602
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley D. Beasley, DPM

  • Foot & Ankle Surgery Podiatrist
  • Broken Arrow, OK
  • NPI 1821102823
  NPD
• Shelley L Hogue, DPM

  • Foot & Ankle Surgery Podiatrist
  • Broken Arrow, OK
  • NPI 1215197280
  NPD
• Teri Lynn Baker, DPM

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

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1235462821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 618",
            "address_2": "PO BOX 3500",
            "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 CIRCLE",
            "address_2": "SUITE 270",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "918-274-1557",
            "fax_number": "918-274-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION FOOT & ANKLE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESTORATION FOOT & ANKLE PLLC",
        "enumeration_date": "2009-09-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "BEALSEY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "918-274-1557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Snoda Dawn Reyburn

• 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 Mar 14, 2012; 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.