Clackamas Foot & Ankle Clinic, Inc.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

DP00267 Issued in OR

Legal business name

CLACKAMAS FOOT & ANKLE CLINIC, INC.

Practice address

8800 SE Sunnyside Rd
Suite 105N
Clackamas, OR 97015-5738

Phone

(503) 652-9671

NPI assigned

Nov 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thuy-Trang Lam, DPMNPI 1649481888

Title

President, DPM

Phone

(503) 652-9671

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thuy-Trang Lam, DPM

  • Foot Surgery Podiatrist
  • Clackamas, OR
  • NPI 1649481888
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1023185055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD",
            "address_2": "SUITE 105N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155738",
            "telephone_number": "503-652-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD",
            "address_2": "SUITE 105N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155738",
            "telephone_number": "503-652-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLACKAMAS FOOT & ANKLE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "THUY-TRANG",
        "authorized_official_title_or_position": "PRESIDENT, DPM",
        "authorized_official_telephone_number": "503-652-9671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00267",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OR",
            "license": "DP00267",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD - GBA",
            "identifier": "DE4383",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GBA",
            "identifier": "480019925",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clackamas County (Sunnyside Health Clinic)
• Clackamas Dermatology PC (Goodskin Dermatology)
• Clackamas Education Service District
• Clackamas Education Service District
• Clackamas Foot & Ankle Clinic
• Clackamas Physical Therapy Associates, Inc.
• Clackamas Radiation Oncology Center
• Clackamas Sportscare LLC
• Clackamas Town Dental, LLC
• Ericha Clare, ND, LAC

• Foot Surgery Podiatrist in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Foot Surgery Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.