Portland Foot and Ankle, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DP00332 Issued in OR

Legal business name

PORTLAND FOOT AND ANKLE, LLC

Practice address

9370 SW Greenburg Rd Ste a
Portland, OR 97223-5408

Phone

(503) 244-7894

NPI assigned

Jul 1, 2010

Last updated

Jul 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Hayes, DPMNPI 1548254329

Title

Owner

Phone

(503) 244-7894

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Stephen M. Hayes, DPM

  • Podiatrist
  • Portland, OR
  • NPI 1548254329
  Medicare reassignment Care Compare group NPD Authorized official
• Holly Wells, FNP-BC

  • Family Nurse Practitioner
  • Longview, WA
  • NPI 1033712526

  OR

  Medicare reassignment Care Compare group NPD
• Casey Jean Skurzewski, FNP

  • Family Nurse Practitioner
  • Vancouver, WA
  • NPI 1821966755

  OR

  Medicare reassignment

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1225349566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 SW GREENBURG RD STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235408",
            "telephone_number": "503-244-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 SW GREENBURG RD STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235408",
            "telephone_number": "503-244-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND FOOT AND ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-244-7894",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228814",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Portland Eye Clinic LLC
• Portland Family Counseling
• Portland Family Practice Inc.
• Portland Family Services LLC
• Portland Foot and Ankle Institute, LLC
• Portland Gastroenterology Equipment (The Oregon Clinic Endoscopy Center - East)
• Portland Gynecologic Oncology, PC (Jana M. Reddoch,MD)
• Portland Headache & Facial Pain LLC
• Portland Healing Space LLC
• Portland Health and Rehabilitation Psychology, LLC

• Podiatrist in Portland, OR
• Providers in Portland, OR by specialty
• Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.