Unknown Individual – Podiatrist, NPI 1124172143
Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
6966, South Utica Avenue, San Souci, Tulsa, Tulsa County, Oklahoma, 74136, United States
SUITE 225
TULSA, OK 741363903
Phone: (918) 492-6333
Type: Mailing
East 31st Street, Fulton, Tulsa, Tulsa County, Oklahoma, 74129, United States
SUITE 300
TULSA, OK 741355114
Phone: (918) 492-6333
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74136)
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