Individual provider Active NPI

Timothy Marlow Hunt, ABC PEDORTHIST 1070

  • Pedorthist
  • Seminole, OK
National Provider Identifier
1912769787
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
Practice address
11990 N Highway 99
Seminole, OK 74868-9411
Phone
(405) 633-3217
Fax
(405) 683-6027
NPI assigned
Jan 26, 2024
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pedorthist 224L00000X NU Primary

Addresses

Primary practice location

11990 N Highway 99
Seminole, OK 74868-9411

Mailing address

700 Smoking Oaks
Wewoka, OK 74884-3465
Phone (405) 633-3217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1912769787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SMOKING OAKS",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "748843465",
            "telephone_number": "405-633-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 N HIGHWAY 99",
            "city": "SEMINOLE",
            "state": "OK",
            "postal_code": "748689411",
            "telephone_number": "405-633-3217",
            "fax_number": "405-683-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "TIMOTHY",
        "middle_name": "MARLOW",
        "name_prefix": "Mr.",
        "credential": "ABC PEDORTHIST 1070",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.