ST. MARY'S PODIATRY CLINIC
NPI 1346613833
Durable Medical Equipment & Medical Supplies in Ponca City, OK
- Organization
- Durable Medical Equipment & Medical Supp...
About ST. MARY'S PODIATRY CLINIC
This page provides the complete NPI Profile along with additional information for St. Mary's Podiatry Clinic, a provider established in Ponca City, Oklahoma operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1346613833 assigned on November 2015. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as St. Mary's Podiatry Clinic. The authorized official of this NPI record is Todd Evans (Vice President)
- NPI
- 1346613833 Verify this NPI
- Provider Legal Name
- ST. MARY'S PHYSICIAN ASSOCIATES, LLC
- Other Organization Name
- ST. MARY'S PODIATRY CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1908 N 14TH STREET SUITE 203 PONCA CITY, OK 74601
- Location Phone
- (580) 249-3929
- Location Fax
- (580) 234-3301
- Mailing Address
- PO BOX 844737 ATT: IPM CREDENTIALING DALLAS, TX 75284
- Mailing Phone
- (855) 298-6628
- Mailing Fax
- (903) 416-1701
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-05-2015
- Last Update Date
- 06-28-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346613833, enumerated as an "organization" on November 05, 2015.
The provider is located at 1908 N 14TH STREET SUITE 203 PONCA CITY, OK 74601 and the phone number is (580) 249-3929.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
