Ankle And Foot Clinic Of Enid, LLC
Podiatrist, Foot & Ankle Surgery in Enid, OK. Organization (NPI-2).
NPI number1376916742
StatusActive
Last updated in NPPESNov 7, 2015
Details
- NPI
- 1376916742
- Entity type
- Organization (NPI-2)
- Legal business name
- Ankle And Foot Clinic Of Enid, LLC
- Organization subpart
- No
- Enumeration date
- Nov 7, 2015
- Last updated
- Nov 7, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 304 | OK | Yes |
Practice location
915 E Garriott RdSuite J
Enid, OK 73701-6156
Phone 580-297-5184 · Fax 580-297-5187
Mailing address
915 E Garriott RdSuite J
Enid, OK 73701-6156
Phone 580-297-5184 · Fax 580-297-5187
Authorized official
Edward Alexander Lebrija
Podiatrist
5802975184
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