Anderson Foot & Ankle Clinic PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

190 Issued in OK

Legal business name

ANDERSON FOOT & ANKLE CLINIC PC

Practice address

817 24TH Ave NW
Norman, OK 73069-6313

Phone

(405) 360-9338

Fax

(405) 366-1669

NPI assigned

Jun 1, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles D Anderson, D.P.M.NPI 1790779890

Title

Owner

Phone

(405) 360-9338

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles D Anderson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Norman, OK
  • NPI 1790779890
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1770785966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 24TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696313",
            "telephone_number": "405-360-9338",
            "fax_number": "405-366-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 24TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696313",
            "telephone_number": "405-360-9338",
            "fax_number": "405-366-1669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 W Guy Ave",
            "address_purpose": "LOCATION",
            "city": "Pauls Valley",
            "state": "OK",
            "postal_code": "730753200",
            "country_code": "US",
            "telephone_number": "405-329-3929",
            "fax_number": "405-366-1669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANDERSON FOOT & ANKLE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-360-9338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200052420A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Victoria Amos, MD
• Jill Laurene Amos, BA
• Kasi R Amrein
• Amy Hampton Counseling, LLC
• Anderson F Greenhaw, MD, PLLC
• Adrian Anderson
• April Janel Anderson, M.ED, LPC CANADITE
• Carol Kay Anderson, D.O., P.C.
• Charles D Anderson, DPM
• Jodi Anderson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.