# OK FOOT & ANKLE SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oklahoma Foot and Ankle Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619005865
- **Authorized official:** KARI L. JOHNSON (BILLING/CREDENTIALING)
- **Authorized official phone:** (405) 691-9004

## Contact information

- **Practice address:** 9315 S PENNSYLVANIA AVE, STE A, OKLAHOMA CITY, OK 73159-6913
- **Practice address phone:** (405) 691-9004
- **Practice address fax:** (405) 691-9003
- **Mailing address:** 9315 S PENNSYLVANIA AVE STE A, OKLAHOMA FOOT & ANKLE SPECIALISTS, OKC, OK 73159-6913
- **Mailing address phone:** (405) 691-9004
- **Mailing address fax:** (405) 691-9003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 233 | OK | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 289 | OK | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 04/20/2017