Organization Active NPI

Limb Salvage International

  • Podiatrist
  • Tahlequah, OK
National Provider Identifier
1427001007
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
LIMB SALVAGE INTERNATIONAL
Practice address
215 Woodlawn Ave
Tahlequah, OK 74464
Phone
(918) 458-9888
Fax
(918) 458-9977
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Juliet C Burk, DPM
Title
VP
Phone
(918) 458-9888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

215 Woodlawn Ave
Tahlequah, OK 74464

Mailing address

One Plaza South
PMB 140
Tahlequah, OK 74464
Phone (918) 458-9888

Other identifiers 1

IdentifierTypeStateIssuer
100849930BMedicaidOK

Other names 1

  • LSI Foot Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2210 N 14TH St
Ponca City, OK 74601
Phone (580) 249-3929

239 Woodlawn Ave
Tahlequah, OK 74464
Phone (918) 458-9888

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1427001007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE PLAZA SOUTH",
            "address_2": "PMB 140",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "74464",
            "telephone_number": "918-458-9888",
            "fax_number": "918-458-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WOODLAWN AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "74464",
            "telephone_number": "918-458-9888",
            "fax_number": "918-458-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMB SALVAGE INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "BURK",
        "authorized_official_first_name": "JULIET",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "918-458-9888",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100849930B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LSI Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tahlequah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.