Bethany Foot Clinic LTD

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

104 Issued in OK

Legal business name

BETHANY FOOT CLINIC LTD

Practice address

3818 N Rockwell Ave
Bethany, OK 73008-3350

Phone

(405) 787-8820

Fax

(405) 495-6523

NPI assigned

Mar 30, 2007

Last updated

Apr 20, 2008By 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

Richard Joseph Traczyk Sr., DPMNPI 1609869494

Title

Owner

Phone

(405) 787-8820

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Richard Joseph Traczyk II, DPM

  • Foot & Ankle Surgery Podiatrist
  • Oklahoma City, OK
  • NPI 1609869494
  NPD (past) Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1932229424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 N ROCKWELL AVE",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730083350",
            "telephone_number": "405-787-8820",
            "fax_number": "405-495-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 N ROCKWELL AVE",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730083350",
            "telephone_number": "405-787-8820",
            "fax_number": "405-495-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY FOOT CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "TRACZYK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-787-8820",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Ann Bennett, PA-C
• Antonia Angeline Benton, REGISTERED NURSE
• Collin Michael Berkman
• Kali Bernhard, M.A., CCC-SLP
• Bethany Dental Group PLLC (Bethany Dental Group)
• Bethany Medical Clinic, PLLC
• Bethany Perfusion, PC
• Bethany Public Schools
• Bethany United Drug Co (Bethany Drug)
• Tanya Billingsley

• Foot & Ankle Surgery Podiatrist in Bethany, OK
• Providers in Bethany, 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 Apr 20, 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.