NPIMap

Organization Active NPI

Mt. Hood Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Hood River, OR
National Provider Identifier
1366623134
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DP00203 Issued in OR
Legal business name
MT. HOOD PODIATRY
Doing business as
Mt Hood Podiatry
Practice address
1100 East Marina Way
Suite 223
Hood River, OR 97031-9540
Phone
(541) 386-1006
Fax
(541) 386-1284
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Dr. Kessa Mauras, DPM
Title
Doctor
Phone
(541) 386-1006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X DP00203 OR Primary

Addresses

Primary practice location

1100 East Marina Way
Suite 223
Hood River, OR 97031-9540

Mailing address

1100 E Marina Way
Suite 223
Hood River, OR 97031-2305
Phone (541) 386-1006

Other names 1

  • Mt Hood Podiatry Doing business as

National Provider Directory

National Provider Directory

Locations

1700 12th St
#B
Hood River, OR 97031
Phone (541) 386-1006

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1366623134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E MARINA WAY",
            "address_2": "SUITE 223",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970312305",
            "telephone_number": "541-386-1006",
            "fax_number": "541-386-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 EAST MARINA WAY",
            "address_2": "SUITE 223",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319540",
            "telephone_number": "541-386-1006",
            "fax_number": "541-386-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. HOOD PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "MAURAS",
        "authorized_official_first_name": "KESSA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "541-386-1006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP00203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Hood Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.