Provider Demographics
NPI:1851025373
Name:OKLAHOMA PODIATRIC MEDICINE & SURGERY PLLC
Entity Type:Organization
Organization Name:OKLAHOMA PODIATRIC MEDICINE & SURGERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAEHLA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:785-554-2951
Mailing Address - Street 1:13401 N WESTERN AVE STE 405
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-1412
Mailing Address - Country:US
Mailing Address - Phone:405-607-3667
Mailing Address - Fax:405-607-3670
Practice Address - Street 1:13401 N WESTERN AVE STE 405
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-1412
Practice Address - Country:US
Practice Address - Phone:405-607-3667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-11
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Multi-Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty