Valley View Foot & Ankle Center PLLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

253 Issued in OK

Legal business name

VALLEY VIEW FOOT & ANKLE CENTER PLLC

Practice address

1631 Arlington St
Ada, OK 74820-2639

Phone

(580) 559-0001

Fax

(580) 559-0002

NPI assigned

Jul 25, 2007

Last updated

Feb 22, 2023By 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. Bryan A Blanck, DPMNPI 1215906276

Title

President

Phone

(580) 599-0001

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

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.

• Bryan Andrew Blanck, D.P.M.

  • Podiatrist
  • Ada, OK
  • NPI 1215906276
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1952591158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 ARLINGTON ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202639",
            "telephone_number": "580-559-0001",
            "fax_number": "580-559-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 ARLINGTON ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202639",
            "telephone_number": "580-559-0001",
            "fax_number": "580-559-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VIEW FOOT & ANKLE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "BLANCK",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-599-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "OK",
            "license": "253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200119570A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200119680A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Turner
• Nneka Me'Shell Uche
• Barbara Underwood I, LCSW
• Unity Point Counseling & Resource Center, Inc.
• Urgent Care of Ada Inc.
• Valley View Hospital (Valley View Regional Hospital)
• Valley View Hospital (d/b/a VALLEY VIEW REGIONAL HOSPITAL)
• Valley View Hospital (Valley ViewRegional Hospital)
• Valley View Hospital (Valley View Regional Hospital)
• Valley View Hospital (Valley View Regional Hospital)

• Podiatric Clinic/Center in Ada, OK
• Providers in Ada, OK by specialty
• Podiatric Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.