MEDICARE: DR. NICHOLAS B PLANTS DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	280	OK

General Provider Information

NPI Number	:	1124346473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS B PLANTS DPM

Provider Business Mailing Address
First Line	:	9315 S. PENNSYLVANIA AVE SUITE A
Second Line	:	OKLAHOMA FOOT & ANKEL SPECIALIST
City	:	OKC
State	:	OK
Zip	:	73159-6913
Country	:	US
Telephone Number	:	405-691-9004
Fax Number	:	405-691-9003

Provider Business Practice Location Address
First Line	:	9315 S. PENNSYLVANIA AVE
Second Line	:	SUITE A
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-6913
Country	:	US
Telephone Number	:	405-691-9004
Fax Number	:	405-691-9003

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2010
Last Update Date	:	09/09/2014

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