MEDICARE: NEO FOOT AND ANKLE INC

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	332B00000X	Durable Medical Equipment & Medical Supplies	223	OK
2	363L00000X	Nurse Practitioner	0058567	OK
3	261QM2500X	Medical Specialty Clinic/Center	223	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346268315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEO FOOT AND ANKLE INC

Provider Business Mailing Address
First Line	:	PO BOX 1323
Second Line	:
City	:	MIAMI
State	:	OK
Zip	:	74355-1323
Country	:	US
Telephone Number	:	918-540-7655
Fax Number	:	918-540-7668

Provider Business Practice Location Address
First Line	:	310 2ND AVE SW
Second Line	:	STE 102
City	:	MIAMI
State	:	OK
Zip	:	74354-6708
Country	:	US
Telephone Number	:	918-540-7655
Fax Number	:	918-540-7668

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MATTHEW H ROBERTS
Credential	:	D.P.M.
Telephone Number	:	918-540-7655

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	02/16/2012

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1225030562 — DR. MATTHEW HAROLD ROBERTS DPM
Practice Location Address:

310 2ND AVE SW , STE 102
MIAMI, OK
74354-6708

Practice Phone: 918-540-7655
Practice Fax: 918-540-7668

1447238514 — NICHOLE BATEMAN SATTERWHITE PA-C, MPAS
Practice Location Address:

310 2ND AVE SW STE 104
MIAMI, OK
74354-6708

Practice Phone: 918-540-7867
Practice Fax: 918-540-7875

1508839093 — ROMEO LAPUS OBSEQUIO MD
Practice Location Address:

310 2ND AVE SW STE 105
MIAMI, OK
74354-6708

Practice Phone: 918-542-5551
Practice Fax: 918-542-1555

1316006562 — BRADFORD JAY STEPHENS MD PC
Practice Location Address:

202 A SW
MIAMI, OK
74354-6708

Practice Phone: 918-541-9400
Practice Fax: 918-541-9411

1285852947 — CHAUNCEY B WITCRAFT MD PC
Practice Location Address:

310 2ND AVE SW STE 105
MIAMI, OK
74354-6708

Practice Phone: 918-542-2812
Practice Fax: 918-542-2814

Directions to “NEO FOOT AND ANKLE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.