Active NPI
Lynn William Rawcliffe, DPM
- Foot & Ankle Surgery Podiatrist
- Ashland, OR
National Provider Identifier
1255439725
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective May 20, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DP00358
- Practice address
- 1661 Hwy 99 N
Suite 201
Ashland, OR 97520-8900 - Phone
- (541) 482-4926
- Fax
- (541) 488-1732
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DP00358 | OR | Primary |
Addresses
Primary practice location
1661 Hwy 99 N
Suite 201
Ashland, OR 97520-8900
Mailing address
1661 Hwy 99 N
Suite 201
Ashland, OR 97520-8900
Phone (541) 482-4926
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023677004 | Other | OR | REGENCE BLUE CROSS |
| 1297890001 | Other | REGION D DMERCCCIGNA MC | |
| 234449 | Medicaid | OR |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DP00358 | OR | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Justin T Johnson DPM Inc. | Foot & Ankle Surgery | Past | Accepting new patients |
| Medford Foot & Ankle Clinic, PC | Foot & Ankle Surgery | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Foot & Ankle Surgery Podiatrist
- Ashland, OR
- NPI 1407145568
-
- Podiatric Clinic/Center
- Medford, OR
- NPI 1508967886
Foot & Ankle Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1255439725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 HWY 99 N",
"address_2": "SUITE 201",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975208900",
"telephone_number": "541-482-4926",
"fax_number": "541-488-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 HWY 99 N",
"address_2": "SUITE 201",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975208900",
"telephone_number": "541-482-4926",
"fax_number": "541-488-1732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWCLIFFE",
"first_name": "LYNN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OR",
"license": "DP00358",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE CROSS",
"identifier": "023677004",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGION D DMERCCCIGNA MC",
"identifier": "1297890001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "234449",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.