| Metro Tulsa Foot & Ankle Specialist Pllc | |
|
701 W. Elgin St, Broken Arrow, OK 74012 | |
| (918) 455-2001 | |
| (918) 301-0088 |
| Full Name | Metro Tulsa Foot & Ankle Specialist Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 701 W. Elgin St, Broken Arrow, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477588945 | NPI | - | NPPES |
| 100685820C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (Oklahoma) | Primary |
| Provider Name | Jeremy M Mason |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710154471 PECOS PAC ID: 9931274453 Enrollment ID: I20080819000230 |
| Provider Name | Justin T Albright |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942480314 PECOS PAC ID: 3779633797 Enrollment ID: I20090615000076 |
| Provider Name | Nathan J Lashley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598995649 PECOS PAC ID: 1456406545 Enrollment ID: I20100619000070 |
| Provider Name | Steven B Smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558477927 PECOS PAC ID: 8426960717 Enrollment ID: I20100708000042 |
| Provider Name | David A Francis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134129158 PECOS PAC ID: 4880598838 Enrollment ID: I20100709000318 |
| Provider Name | Timothy J Siegfried |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164536256 PECOS PAC ID: 2062324353 Enrollment ID: I20100720000151 |
| Provider Name | Jill L Jackson-smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417061516 PECOS PAC ID: 1759413263 Enrollment ID: I20100720000195 |
| Provider Name | Philip S Hatfield |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528248069 PECOS PAC ID: 9830243666 Enrollment ID: I20120702000066 |
| Provider Name | Kevin T Quang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376980193 PECOS PAC ID: 0446547228 Enrollment ID: I20160921002571 |
| Provider Name | Tera Jordin Santistevan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588174841 PECOS PAC ID: 1355748518 Enrollment ID: I20210930002205 |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Tulsa Foot & Ankle Specialist Pllc 701 W. Elgin St, Broken Arrow, OK 74012 Ph: (918) 455-2001 | Metro Tulsa Foot & Ankle Specialist Pllc 701 W. Elgin St, Broken Arrow, OK 74012 Ph: (918) 455-2001 |
Restoration Foot & Ankle Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 800 W Boise Cir, Suite 150, Broken Arrow, OK 74012 Phone: 918-274-1557 Fax: 918-274-8557 | |
Shelley L Hogue, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 800 W Boise Cir, Ste. 150, Broken Arrow, OK 74012 Phone: 918-274-1557 Fax: 918-274-8557 | |
Restoration Foot & Ankle Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 800 W Boise Circle, Suite 270, Broken Arrow, OK 74012 Phone: 918-274-1557 Fax: 918-274-8557 | |
Dr. Philip S Hatfield, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 701 W. Elgin St, Broken Arrow, OK 74012 Phone: 918-455-2001 Fax: 918-455-6330 | |
Raymond C Hurlbutt, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 421 W Washington St, Broken Arrow, OK 74012 Phone: 918-455-2001 Fax: 918-455-6330 | |
Bradley D. Beasley, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 800 W Boise Cir, Suite 150, Broken Arrow, OK 74012 Phone: 918-274-1557 Fax: 918-274-8557 |