NPIMap

Organization Active NPI

Oregon Foot & Ankle Surgical Specialist, LLC

  • Foot & Ankle Surgery Podiatrist
  • Ashland, OR
National Provider Identifier
1356665103
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DP00358 Issued in OR
Legal business name
OREGON FOOT & ANKLE SURGICAL SPECIALIST, LLC
Practice address
1661 Hwy 99 N
Suite 201
Ashland, OR 97520-8900
Phone
(541) 482-4924
Fax
(541) 488-1732
NPI assigned
Mar 23, 2010
Last updated
Nov 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Lynn William Rawcliffe, DPMNPI 1255439725
Title
Owner
Phone
(541) 482-4926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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) 482-4924

Other identifiers 1

IdentifierTypeStateIssuer
234449MedicaidOR

National Provider Directory

National Provider Directory

Locations

1661 Highway 99 N
Ste 201
Ashland, OR 97520
Phone (541) 482-4924

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1356665103",
    "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": "541-482-4924",
            "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": "541-482-4924",
            "fax_number": "541-488-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON FOOT & ANKLE SURGICAL SPECIALIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "RAWCLIFFE",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-482-4926",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP00358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "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 Nov 12, 2010; 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.