Individual provider Active NPI

Viengkeo T Noimany, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lake Oswego, OR
National Provider Identifier
1164487609
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DP153670 Issued in OR
Practice address
18231 Siena Dr
Lake Oswego, OR 97034-3263
Phone
(503) 702-3803
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC005897 PA
Foot & Ankle Surgery Podiatrist 213ES0103X DP153670 OR Primary

Addresses

Primary practice location

18231 Siena Dr
Lake Oswego, OR 97034-3263

Mailing address

18231 Siena Dr
Lake Oswego, OR 97034-3263
Phone (503) 702-3803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP153670ORMDFoot & Ankle Surgery Podiatrist
SC005897PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bryn Mawr Foot & Ankle Center, LLC PastSince Apr 1, 2006 Accepting new patients
Integrated Foot and Ankle Specialists of PA LLC Foot & Ankle Surgery Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1164487609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18231 SIENA DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343263",
            "telephone_number": "503-702-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18231 SIENA DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343263",
            "telephone_number": "503-702-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOIMANY",
        "first_name": "VIENGKEO",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005897",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP153670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.