Organization Active NPI

Woodward Foot Clinic PLLC

  • Podiatrist
  • Woodward, OK
National Provider Identifier
1831217082
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
127 Issued in OK
Legal business name
WOODWARD FOOT CLINIC PLLC
Practice address
1712 Main St
Woodward, OK 73801-2939
Phone
(580) 256-8603
Fax
(580) 256-8604
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. Frank S Aaron, D.P.M.
Title
Manager
Phone
(580) 256-8603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 127 OK Primary

Addresses

Primary practice location

1712 Main St
Woodward, OK 73801-2939

Mailing address

1712 Main St
Woodward, OK 73801-2939
Phone (580) 256-8603

Other identifiers 3

IdentifierTypeStateIssuer
DG6805OtherOKPALMETTO GBA
200117750AMedicaidOK
200117750BMedicaidOK

National Provider Directory

National Provider Directory

Locations

2400 W Modelle Ave
Clinton, OK 73601
Phone (580) 323-1110

402 SE 6th St
Mooreland, OK 73852
Phone (580) 994-5570

202569 E County Road 434
Woodward, OK 73801
Phone (580) 256-7275

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1831217082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 MAIN ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012939",
            "telephone_number": "580-256-8603",
            "fax_number": "580-256-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 MAIN ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012939",
            "telephone_number": "580-256-8603",
            "fax_number": "580-256-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWARD FOOT CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "AARON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "580-256-8603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DG6805",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200117750A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200117750B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.