Oklahoma Mobile Podiatry Services LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

OKLAHOMA MOBILE PODIATRY SERVICES LLC

Practice address

2300 S Broadway Ste 110
Edmond, OK 73013-4065

Phone

(405) 285-8900

Fax

(405) 285-8921

NPI assigned

Apr 24, 2019

Organization subpart

No

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

Authorized official

Name

John Duck

Title

Chief Financial Officer

Phone

(054) 285-8900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan Cain

  • Podiatrist
  • Lawton, OK
  • NPI 1336284595
  Medicare reassignment Care Compare group NPD
• Jeremy M Mason, DPM

  • Podiatrist
  • Owasso, OK
  • NPI 1710154471
  Medicare reassignment Care Compare group NPD
• Gordon James Bean, DPM

  • Foot & Ankle Surgery Podiatrist
  • Moore, OK
  • NPI 1255334967
  NPD (past)
• Michael Hugh Martin, DPM

  • Podiatrist
  • Enid, OK
  • NPI 1407831951
  NPD (past)

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1699339804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S BROADWAY STE 110",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134065",
            "telephone_number": "405-285-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S BROADWAY STE 110",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134065",
            "telephone_number": "405-285-8900",
            "fax_number": "405-285-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA MOBILE PODIATRY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "DUCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "054-285-8900"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Healthcare Provider Solutions, PLLC
• Oklahoma Ip, PLLC
• Oklahoma Manual Therapy Associates, PLLC
• Oklahoma Medical Solutions, LLC
• Oklahoma Mobile Eye Care Associates
• Oklahoma Oasis Hyperbarics LLC
• Oklahoma Orthopedic Supply LLC
• Oklahoma Otolaryngology Hearing Center Inc
• Oklahoma Sleep Group LLC
• Oklahoma Specialty Podiatry Services LLC

• Primary Podiatric Medicine Podiatrist in Edmond, OK
• Providers in Edmond, OK by specialty
• Primary Podiatric Medicine Podiatrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.