Premiere Foot and Ankle LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PREMIERE FOOT AND ANKLE LLC

Practice address

4750 Village Plaza Loop
Eugene, OR 97401-6601

Phone

(541) 650-6170

Fax

(877) 478-5629

NPI assigned

Jun 23, 2017

Last updated

Sep 23, 2024By 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

Jennifer Hudson

Title

Owner

Phone

(541) 650-5170

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

Locations

Practitioners 1

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.

• Sarah J Hudson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Eugene, OR
  • NPI 1912290701
  Medicare reassignment

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1285154948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 VILLAGE PLAZA LOOP STE 202",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016607",
            "telephone_number": "541-650-6170",
            "fax_number": "877-478-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 VILLAGE PLAZA LOOP",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016601",
            "telephone_number": "541-650-6170",
            "fax_number": "877-478-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-650-5170"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania Predovic
• Premere Rehab LLC (Infinity Rehab)
• Premere Rehab LLC
• Premere Rehab LLC (Infinity Rehab)
• Premere Rehab, LLC (Infinity Rehab)
• Alison Prescott, PHD
• Present Healing Center Inc
• Gustavo Adolfo Presidente
• Asher Rain Presley
• Alix Marie Pressley, PSS

• Foot & Ankle Surgery Podiatrist in Eugene, OR
• Providers in Eugene, OR by specialty
• Foot & Ankle Surgery Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.