Active NPI
Limb Salvage International
- Podiatrist
- Tahlequah, OK
National Provider Identifier
1427001007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100849930B | Medicaid | OK |
Other names 1
- LSI Foot Clinic
National Provider Directory
National Provider DirectoryLocations
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.
-
- Foot & Ankle Surgery Podiatrist
- Tahlequah, OK
- NPI 1023013760
-
- Podiatrist
- Muskogee, OK
- NPI 1932104676
-
- General Practice Physician
- McAlester, OK
- NPI 1598922171
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.