| Restoration Foot & Ankle Pllc | |
| 800 W Boise Cir, Suite 150, Broken Arrow, OK 74012-4906 | |
| (918) 274-1557 | |
| (918) 274-8557 | 
| Full Name | Restoration Foot & Ankle Pllc | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist - Foot & Ankle Surgery | 
| Location | 800 W Boise Cir, 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 | 
|---|---|---|---|
| 1174705602 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 232 (Oklahoma) | Primary | 
| Provider Name | Bradley D Beasley | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1821102823 PECOS PAC ID: 3375447329 Enrollment ID: I20031121000512 | 
| Provider Name | Shelley Lynn Hogue | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1215197280 PECOS PAC ID: 2062589849 Enrollment ID: I20111005000574 | 
| Provider Name | Teri Lynn Baker | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1215377718 PECOS PAC ID: 0143512541 Enrollment ID: I20210218001625 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Restoration Foot & Ankle Pllc Po Box 3500, Dept No 618, Claremore, OK 74018-3500 Ph: (918) 274-1557 | Restoration Foot & Ankle Pllc 800 W Boise Cir, Suite 150, Broken Arrow, OK 74012-4906 Ph: (918) 274-1557 | 
| 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 | |
| Metro Tulsa Foot & Ankle Specialist Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 701 W. Elgin St, Broken Arrow, OK 74012 Phone: 918-455-2001 Fax: 918-301-0088 | |
| 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 |