Advanced Foot Clinic, PC
Organization Active NPI Podiatrist · Salem, OR
NPI 1164528212 · NPPES record last updated Feb 7, 2025
Key facts
- NPI
- 1164528212
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- License
- DP00296 (OR)
- Legal business name
- ADVANCED FOOT CLINIC, PC
- Practice address
- 1475 Commercial St SE
Salem, OR 97302-4307 - Phone
- (503) 932-0885
- Fax
- (503) 625-8638
- NPI assigned
- Sep 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Hamid R Arabshahi, DPM
- Title
- Physician
- Phone
- (503) 391-0688
Other NPIs on the same Medicare enrollment 1
Practitioners 1
-
Hamid Reza Arabshahi, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040204000195 | OR | Part B Supplier - Clinic/Group Practice | 8820981889 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Salem, OR; Tualatin, OR |
National Provider Directory
Locations
1475 Commercial St SE
Salem, OR 97302
Phone (503) 391-0688
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | DP00296 | OR | Yes |
Addresses
Primary practice location
1475 Commercial St SE
Salem, OR 97302-4307
Mailing address
PO Box 1550
Sherwood, OR 97140-1550
Phone (503) 391-0688
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5738490001 | Other | OR | MEDICARE DME |
| 480034478 | Other | OR | PALMETTO GBA RAILROAD MED |
| 158911 | Medicaid | OR | |
| 480034478 | Other | OR | PALMTO GBA-RAILRD MEDICAR |
| R111524 | Other | OR | MEDICARE |
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.