Organization Active NPI

Rick Traczyk II DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Oklahoma City, OK
National Provider Identifier
1891931374
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
RICK TRACZYK II DPM PC
Practice address
13921 N Meridian Ave Ste 203
Oklahoma City, OK 73134-1104
Phone
(405) 755-7600
Fax
(405) 755-7680
NPI assigned
Jan 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Dr. Rick Joseph Traczyk II, DPM
Title
President
Phone
(405) 755-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

13921 N Meridian Ave Ste 203
Oklahoma City, OK 73134-1104

Mailing address

PO Box 960287
Oklahoma City, OK 73196-0001
Phone (405) 755-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090312000487 OK Part B Supplier - Clinic/Group Practice 4688730807 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK
O20100930074330 OK DME Supplier - Physician - Podiatry 4688730807 Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory
Tax ID family
Rick Traczyk II DPM PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13921 N Meridian Ave
Ste 203
Oklahoma City, OK 73134
Phone (405) 755-7600

4205 McAuley Blvd
Ste 465
Oklahoma City, OK 73120
Phone (405) 749-4245

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1891931374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960287",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960001",
            "telephone_number": "405-755-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13921 N MERIDIAN AVE STE 203",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341104",
            "telephone_number": "405-755-7600",
            "fax_number": "405-755-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK TRACZYK II DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "TRACZYK",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-755-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.