Organization Active NPI

Ankle & Foot Centers of Mid-America

  • Foot & Ankle Surgery Podiatrist
  • Grove, OK
National Provider Identifier
1669694170
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
207 Issued in OK
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

Updated by the provider on Aug 21, 2025

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.NPI 1427031863
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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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, AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.