Oklahoma Specialty Podiatry Services LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

OKLAHOMA SPECIALTY PODIATRY SERVICES LLC

Practice address

4422 Wagonwheel Rd
Edmond, OK 73034-5962

Phone

(405) 204-1703

NPI assigned

Aug 21, 2019

Organization subpart

No

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

Authorized official

Name

John M Duck

Title

Cfo

Phone

(405) 471-6190

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 2

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

• Joe Harry Huffmyer, DPM

  • Foot & Ankle Surgery Podiatrist
  • Guthrie, OK
  • NPI 1912229402
  Medicare reassignment NPD
• Mandy Lyn McNeely, M.S.

  • Case Manager/Care Coordinator
  • Shawnee, OK
  • NPI 1326587254
  NPD

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1306493754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8574",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730838574",
            "telephone_number": "405-471-6190",
            "fax_number": "405-285-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 WAGONWHEEL RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345962",
            "telephone_number": "405-204-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA SPECIALTY PODIATRY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "DUCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "405-471-6190"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Edmond",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Edmond",
            "address_1": "4422 Wagonwheel Rd",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730345962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Oklahoma Mobile Podiatry Services LLC
• Oklahoma Oasis Hyperbarics LLC
• Oklahoma Orthopedic Supply LLC
• Oklahoma Otolaryngology Hearing Center Inc
• Oklahoma Sleep Group LLC
• Oklahoma Therapy Services LLC
• Oklahoma Wellness Group LLC
• Ike Alphonsus Okwuonu, LPC CANDIDATE
• Olay Physicians, PLLC
• Michael P. Olay, MD

• Podiatric Clinic/Center in Edmond, OK
• Providers in Edmond, OK by specialty
• Podiatric Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.