Elite Footcare Center PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E 4700 Issued in CA

Legal business name

ELITE FOOTCARE CENTER PC

Practice address

6585 S Yale Ave
Suite 1110
Tulsa, OK 74136-8384

Phone

(918) 502-5300

Fax

(918) 502-5301

NPI assigned

Sep 29, 2008

Last updated

Oct 13, 2014By 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. David Alan Stoller, DPMNPI 1952364531

Title

President

Phone

(918) 502-5300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 5

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.

• David Alan Stoller, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tulsa, OK
  • NPI 1952364531
  Medicare reassignment NPD Authorized official
• Michael G Jenson, PAC CPP

  • Physician Assistant
  • Tulsa, OK
  • NPI 1770684540
  NPD (past)
• Stephen Thomas Lester, MD

  • Interventional Pain Medicine Physician
  • Tulsa, OK
  • NPI 1508854308
  NPD (past)
• Karen J Morgan-Vanderlick, MD

  • Pain Medicine (Anesthesiology) Physician
  • Tulsa, OK
  • NPI 1518162528
  NPD (past)
• Michael C Owens, DO

  • Pain Medicine (Anesthesiology) Physician
  • Enid, OK
  • NPI 1114133907
  NPD (past)

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1861642654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 S YALE AVE",
            "address_2": "SUITE 1110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368384",
            "telephone_number": "918-502-5300",
            "fax_number": "918-502-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6585 S YALE AVE",
            "address_2": "SUITE 1110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368384",
            "telephone_number": "918-502-5300",
            "fax_number": "918-502-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE FOOTCARE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "STOLLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-502-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E 4700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yusef Elghzali
• George William Elias Jr.
• John Elias III, PHARM D.
• Elite Chiropractic PC (Elite Chiropractic)
• Elite Family Medicine LLC
• Elite Medical Care
• Elite Medical Care PLLC
• Elite Medical Clinic PLLC
• Elite Oral and Maxillofacial Surgery of Oklahoma, PLLC
• Elite Surgical Assisting, LLC

• Foot & Ankle Surgery Podiatrist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Foot & Ankle Surgery Podiatrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.