# NEO FOOT AND ANKLE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346268315
- **Authorized official:** DR. MATTHEW H ROBERTS D.P.M. (OWNER)
- **Authorized official phone:** (918) 540-7655

## Contact information

- **Practice address:** 310 2ND AVE SW, STE 102, MIAMI, OK 74354-6708
- **Practice address phone:** (918) 540-7655
- **Practice address fax:** (918) 540-7668
- **Mailing address:** PO BOX 1323, MIAMI, OK 74355-1323
- **Mailing address phone:** (918) 540-7655
- **Mailing address fax:** (918) 540-7668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 223 | OK | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 223 | OK | — |
| 363L00000X | Nurse Practitioner | 0058567 | OK | — |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 02/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200049560A | — | OK |