Meridian Foot Clinic Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

113 Issued in OK

Legal business name

MERIDIAN FOOT CLINIC INC

Practice address

13301 N Meridian
BLDG 700 Suite 701
Okla City, OK 73120-9369

Phone

(405) 751-6152

Fax

(405) 752-5158

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Wayne Hines, DPM

Title

Owner of Corporation

Phone

(405) 751-6152

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1295773398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 N MERIDIAN",
            "address_2": "BLDG 700 SUITE 701",
            "city": "OKLA CITY",
            "state": "OK",
            "postal_code": "731209369",
            "telephone_number": "405-751-6152",
            "fax_number": "405-752-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 N MERIDIAN",
            "address_2": "BLDG 700 SUITE 701",
            "city": "OKLA CITY",
            "state": "OK",
            "postal_code": "731209369",
            "telephone_number": "405-751-6152",
            "fax_number": "405-752-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN FOOT CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER OF CORPORATION",
        "authorized_official_telephone_number": "405-751-6152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1023011616",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin D Henderson, DMD
• William Edward Holcomb, DDS
• Glen Conrad Hornbuckle, DDS MS FACD
• Chris A Hunt, DDS, MS
• Jeremiah A Jansen, MD
• Chris Alan Poore, DDS, MS
• Chad Michael Smith, MD
• William P Truels MD Inc
• Larry L Winnard, ATC

• Podiatrist in Okla City, OK
• Providers in Okla City, OK by specialty
• Podiatrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.