| Diabetic Foot And Wound Center Of Okfas | |
|
11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | |
| (405) 691-9004 | |
| (405) 691-9003 |
| Full Name | Diabetic Foot And Wound Center Of Okfas |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 11100 Hefner Pointe Drive, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780171009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | David Quyen Le |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962566307 PECOS PAC ID: 3678553781 Enrollment ID: I20040727001391 |
| Provider Name | Jeremy Gray |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427206077 PECOS PAC ID: 9931381902 Enrollment ID: I20110718000610 |
| Provider Name | Kimmie Phisaiwath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639662216 PECOS PAC ID: 3375894124 Enrollment ID: I20180918003751 |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetic Foot And Wound Center Of Okfas 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 Ph: (405) 691-9004 | Diabetic Foot And Wound Center Of Okfas 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 Ph: (405) 691-9004 |
Dr. Terry M Nayfa, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3612 Nw 50th St, Oklahoma City, OK 73112 Phone: 405-947-5492 Fax: 405-947-5532 | |
Timothy D Thomas, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13100 N Western Ave Ste 200, Oklahoma City, OK 73114 Phone: 405-418-4500 Fax: 405-418-4501 | |
Corlee Foot & Ankle, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 609 W Memorial Rd, Oklahoma City, OK 73114 Phone: 405-418-2676 | |
Dr. John Andrew Maupin Jr., DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 705 Nw 57th St, Oklahoma City, OK 73118 Phone: 405-550-0060 | |
David G. Wade Dpm Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3330 Nw 56th St, #600, Oklahoma City, OK 73112 Phone: 405-947-8041 | |
Alaina Janae Jones, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13100 N Western Ave Ste 200, Oklahoma City, OK 73114 Phone: 405-418-4500 Fax: 405-418-4501 | |
Dr. Nicholas B Plants, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9315 S. Pennsylvania Ave, Suite A, Oklahoma City, OK 73159 Phone: 405-691-9004 Fax: 405-691-9003 |