Columbia Foot and Ankle Clinic, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

COLUMBIA FOOT AND ANKLE CLINIC, LLC

Doing business as

Columbia Foot and Ankle Clinic, LLC

Practice address

12411 NE 70TH Cir
Vancouver, WA 98682-4885

Phone

(602) 615-9915

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Jane H Cox, ADMINISTRATOR

Title

Credentialing Specialist

Phone

(949) 664-2796

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Columbia Foot and Ankle Clinic, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in WA, OR2 enrollments

Enrollment records 2

Tax ID family

Columbia Foot and Ankle Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Columbia Foot and Ankle Clinic-Virgil Gene Livinston

  • Foot & Ankle Surgery Podiatrist
  • Vancouver, WA
  • NPI 1326756180
  NPD tax ID

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.

• Virgil Gene Livingston, MD-DPM

  • Foot & Ankle Surgery Podiatrist
  • Vancouver, WA
  • NPI 1265164198

  Multi-Specialty, OR

  Medicare reassignment NPD

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1073393260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12411 NE 70TH CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986824885",
            "telephone_number": "602-615-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12411 NE 70TH CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986824885",
            "telephone_number": "602-615-9915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12411 NE 70th Cir",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986824885",
            "country_code": "US",
            "telephone_number": "949-664-2796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLUMBIA FOOT AND ANKLE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "949-664-2796",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265164198",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2228399",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500823690",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Foot and Ankle Clinic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Columbia Anesthesia Group P S
• Columbia Endodontic Group, P.S.
• Columbia Eyecare PC
• Columbia Eyecare PC
• Columbia Foot and Ankle Clinic-Virgil Gene Livinston
• Columbia Foot and Ankle Clinic, LLC
• Columbia Health Care Management Inc. (CHCM)
• Columbia Imaging Group, PS
• Columbia Language Services
• Columbia Pharmacy

• Foot & Ankle Surgery Podiatrist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Foot & Ankle Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.