Foot and Ankle Clinic of Stillwater LTD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

167 Issued in OK

Legal business name

FOOT AND ANKLE CLINIC OF STILLWATER LTD

Practice address

120 N Perkins Rd
Ste a
Stillwater, OK 74075-5524

Phone

(405) 743-3668

Fax

(405) 743-1718

NPI assigned

Jul 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert Anton Crotty, DPM

Title

President

Phone

(405) 743-3668

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1689837445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N PERKINS RD",
            "address_2": "STE A",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740755524",
            "telephone_number": "405-743-3668",
            "fax_number": "405-743-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N PERKINS RD",
            "address_2": "STE A",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740755524",
            "telephone_number": "405-743-3668",
            "fax_number": "405-743-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CLINIC OF STILLWATER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "CROTTY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ANTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-743-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480179134",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "731313428001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Virginia Floyd
• Lindsey Fluhman
• Focus Institute of Stillwater, LLC
• Tabitha Fogelman
• Kelli Michelle Foley
• Foot Traffic, LLC
• Nichole Diane Forbes, MA, LPC-C
• Amanda Mae Ford, LPN
• Mirabel Forteh, APRN-CNP
• Megan Ashley Fortner

• Durable Medical Equipment & Medical Supplies in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.