Elijah Matthew Hillstrom, C.PED

Primary specialty

PedorthistTaxonomy code 224L00000X

License

CPED3653 Issued in WA

Practice address

4903 NE St Johns Rd
Vancouver, WA 98661-2546

Phone

(360) 635-8079

Fax

(360) 450-2236

NPI assigned

Jan 24, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Diamond DME Ut, LLC

  • Durable Medical Equipment & Medical Supplies
  • Saint George, UT
  • NPI 1194424150
  NPD Authorized official
• Foot Systems Plus LLC

  • Pedorthist
  • St George, UT
  • NPI 1649006057
  NPD Authorized official
• Foot Comfort Technologies

  • Customized Equipment (DME)
  • Vancouver, WA
  • NPI 1194063255
  NPD (past) Authorized official

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1386982452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 NE 38TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613426",
            "telephone_number": "360-635-8079",
            "fax_number": "360-450-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 NE ST JOHNS RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986612546",
            "telephone_number": "360-635-8079",
            "fax_number": "360-450-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLSTROM",
        "first_name": "ELIJAH",
        "middle_name": "MATTHEW",
        "credential": "C.PED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "WA",
            "license": "CPED3653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner Scott Hill, NAR
• Tracy E Hill, LMP
• Joshua Michael Hiller, D.D.S.
• Aubrey Diann Hillin
• Alexis Hills
• Joel Hillstrom
• Hillyard and Neil, P.L.L.C.
• Todd Lyle Hillyard, D.D.S.
• Marlene Hillyer
• Jenevah Hilton

• Pedorthist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Pedorthist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.