Yama a Dehqanzada DPM PC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

DP00348 Issued in OR

Legal business name

YAMA A DEHQANZADA DPM PC

Doing business as

Sherwood Foot and Ankle Clinic

Practice address

16770 SW Edy Rd
Suite 216
Sherwood, OR 97140-9678

Phone

(503) 925-8120

Fax

(503) 925-8121

NPI assigned

Sep 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Yama Ahmad Dehqanzada, DPMNPI 1154338275

Title

Ceo/President

Phone

(503) 925-8120

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sherwood Foot and Ankle Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yama Ahmad Dehqanzada, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Tigard, OR
  • NPI 1154338275
  NPD (past) Authorized official

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1215122833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16770 SW EDY RD",
            "address_2": "SUITE 216",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409678",
            "telephone_number": "503-925-8120",
            "fax_number": "503-925-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16770 SW EDY RD",
            "address_2": "SUITE 216",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409678",
            "telephone_number": "503-925-8120",
            "fax_number": "503-925-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAMA A DEHQANZADA DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "DEHQANZADA",
        "authorized_official_first_name": "YAMA",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "503-925-8120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "OR",
            "license": "DP00348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1154338275",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherwood Foot and Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William C. Edell DDS
• Lily Williams
• Christopher Todd Wilson, D.D.S.
• Julianne Marie Wilson, PT
• Austin Wolf, PHARMD
• Tae Yoon
• Maggie McKenzie Young Greensmith
• Maggie K Yu, MD
• Shazia Zafar
• Bethany Michelle Zander, PSY.D.

• Podiatric Clinic/Center in Sherwood, OR
• Providers in Sherwood, OR by specialty
• Podiatric Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.