Oklahoma Senior Podiatry Services, P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

OKLAHOMA SENIOR PODIATRY SERVICES, P.C.

Practice address

3208 Brush Creek Rd.
Oklahoma City, OK 73120-1852

Phone

(866) 216-5518

Fax

(312) 277-6757

NPI assigned

Jan 3, 2012

Organization subpart

No

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

Authorized official

Name

William K. Smith Sr., D.P.M.

Title

Owner/President

Phone

(866) 216-5518

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aggeus Oklahoma Podiatry Services, P.C. Doing business as

Locations (25 of 27)

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1871863258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S RIVERSIDE PLZ",
            "address_2": "STE 19 EAST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063728",
            "telephone_number": "773-770-0140",
            "fax_number": "312-277-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 BRUSH CREEK RD.",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731201852",
            "telephone_number": "866-216-5518",
            "fax_number": "312-277-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA SENIOR PODIATRY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "866-216-5518",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200444490A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aggeus Oklahoma Podiatry Services, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.