Integris Baptist Regional Health Center

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

INTEGRIS BAPTIST REGIONAL HEALTH CENTER

Doing business as

Miami Foot and Ankle Clinic

Practice address

129 N Kentucky St
Pryor, OK 74361-4211

Phone

(918) 542-5551

Fax

(918) 542-1666

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Addresses

Other names 1

• Miami Foot and Ankle Clinic Doing business as

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699865493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N KENTUCKY ST",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743614211",
            "telephone_number": "918-825-1600",
            "fax_number": "918-542-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N KENTUCKY ST",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743614211",
            "telephone_number": "918-542-5551",
            "fax_number": "918-542-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS BAPTIST REGIONAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Foot and Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mike Hughes
• Carin Hugley
• Dale Coulson Huntington
• Sarah Hutton
• Sydney Lashea Hux, PEER SPECIALIST
• Beige Jackson
• Crystel Jackson
• Sarah Jackson, RN
• Spencer Jackson
• Imogene James

• Podiatrist in Pryor, OK
• Providers in Pryor, OK by specialty
• Podiatrist in Oklahoma

• 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.