NPIMap

Organization Active NPI

Integris Baptist Regional Health Center

Doing business as Miami Foot and Ankle Clinic

  • Podiatrist
  • Miami, OK
National Provider Identifier
1598849713
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
INTEGRIS BAPTIST REGIONAL HEALTH CENTER
Doing business as
Miami Foot and Ankle Clinic
Practice address
310 2ND Ave SW
Miami, OK 74354-6743
Phone
(918) 542-5551
Fax
(918) 542-1555
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joel A. Hart
Title
Administrator
Phone
(918) 542-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

310 2ND Ave SW
Miami, OK 74354-6743

Mailing address

30 B St SW
Miami, OK 74354-6808
Phone (918) 542-5551

Other names 1

  • Miami Foot and Ankle Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

Dept 2177
Tulsa, OK 74182

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598849713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 B ST SW",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546808",
            "telephone_number": "918-542-5551",
            "fax_number": "918-542-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 2ND AVE SW",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546743",
            "telephone_number": "918-542-5551",
            "fax_number": "918-542-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS BAPTIST REGIONAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-542-6611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Foot and Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.