Active NPI
Ankle & Foot Centers of Mid-America
- Foot & Ankle Surgery Podiatrist
- Grove, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 207
- Legal business name
- ANKLE & FOOT CENTERS OF MID-AMERICA
- Practice address
- 1200 Neo Loop
Grove, OK 74344 - Phone
- (918) 787-6893
- Fax
- (918) 787-6815
- NPI assigned
- May 3, 2007
- 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
- Bryan M Sheehan, D.P.M.
- Title
- President
- Phone
- (918) 787-6893
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 207 | OK | Primary |
Addresses
Primary practice location
1200 Neo Loop
Grove, OK 74344
Mailing address
PO Box 452327
Grove, OK 74345-2327
Phone (918) 787-6893
Other practice location 1
1300 Westpark Dr
Bentonville, AR 72712-4271
Phone (479) 224-6411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, AR
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100219000428 | OK | Part B Supplier - Clinic/Group Practice | 9739223389 |
Receives reassigned benefits from 1 practitioner Practice locations: Grove, OK |
| O20100930082464 | OK | DME Supplier - Physician - Podiatry | 9739223389 | Practice locations: Grove, OK |
| O20110307000624 | AR | Part B Supplier - Clinic/Group Practice | 9739223389 |
Receives reassigned benefits from 1 practitioner Practice locations: Bentonville, AR |
National Provider Directory
National Provider DirectoryLocations
1000 SE Walton Blvd
Ste 16
Bentonville, AR 72712
Phone (479) 224-6411
1300 Westpark Dr
Bentonville, AR 72712
Phone (479) 224-6411
1200 Neo Loop
#A
Grove, OK 74344
Phone (918) 787-6893
1200 Neo Loop
Grove, OK 74344
Phone (417) 347-8570
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Bentonville, AR
- NPI 1912953373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755734400000",
"number": "1669694170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 452327",
"city": "GROVE",
"state": "OK",
"postal_code": "743452327",
"telephone_number": "918-787-6893",
"fax_number": "918-787-6815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 NEO LOOP",
"city": "GROVE",
"state": "OK",
"postal_code": "74344",
"telephone_number": "918-787-6893",
"fax_number": "918-787-6815"
}
],
"practiceLocations": [
{
"address_1": "1300 Westpark Dr",
"address_purpose": "LOCATION",
"city": "Bentonville",
"state": "AR",
"postal_code": "727124271",
"country_code": "US",
"telephone_number": "479-224-6411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ANKLE & FOOT CENTERS OF MID-AMERICA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A",
"authorized_official_last_name": "SHEEHAN",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "918-787-6893",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OK",
"license": "207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grove, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.