Jackson Duane Law, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

221041 Issued in OR

Practice address

601 Medical Pkwy
Enterprise, OR 97828-5124

Phone

(541) 426-3111

NPI assigned

Apr 8, 2021

Last updated

Nov 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Arizona Podiatric Med Program at Midwestern Un, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wallowa County Health Care DistrictGroup PAC ID 4183537566, shared by 7 NPIs, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wallowa Memorial Hospital Hospital, Enterprise, OR, CCN 381306

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wallowa County Health Care District

  dba Wallowa Memorial Hospital

  • Critical Access Hospital Clinic/Center
  • Enterprise, OR
  • NPI 1447256250
  Medicare reassignment NPD
• Wallowa County Health Care District

  dba Wallowa Memorial Hospital

  • Critical Access Hospital
  • Enterprise, OR
  • NPI 1558366229
  Medicare reassignment NPD
• Wallowa County Health Care District

  dba Wallowa Memorial Medical Clinic - Downtown

  • Rural Health Clinic/Center
  • Enterprise, OR
  • NPI 1295338333
  NPD
• Wallowa County Health Care District

  dba Wallowa Memorial Medical Clinic - Wallowa

  • Rural Health Clinic/Center
  • Wallowa, OR
  • NPI 1508452160
  NPD (past)
• Wallowa County Health Care District

  dba Mountain View Medical - Enterprise

  • Rural Health Clinic/Center
  • Enterprise, OR
  • NPI 1528442837
  NPD (past)
• Wallowa County Health Care District

  dba Wallowa Memorial Medical Clinic - Joseph

  • Rural Health Clinic/Center
  • Joseph, OR
  • NPI 1790167831
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wallowa County Health Care District

  dba Wallowa Memorial Hospital

  • Critical Access Hospital
  • Enterprise, OR
  • NPI 1558366229
  Care Compare affiliation

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1114507795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 HAMEL DR",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281437",
            "telephone_number": "480-861-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MEDICAL PKWY",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978285124",
            "telephone_number": "541-426-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAW",
        "first_name": "JACKSON",
        "middle_name": "DUANE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-08",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "221041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Paul Kliewer, LPC
• Thomas Paul Klimsza, PT3
• Krista Nicole Kline, M.S., CCC-SLP
• Emily Knudsen, MD
• Amber M Krepp
• Lawrence Leonard Woods (Alder Springs Family Medicine)
• Ronald Duy Le, DMD
• Katrina Leith, CHW
• Anna Lembke
• Troy Lewellyn

• Foot & Ankle Surgery Podiatrist in Enterprise, OR
• Providers in Enterprise, OR by specialty
• Foot & Ankle Surgery Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.