Rogue Valley Foot Clinic P.C.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

DP002200 Issued in OR

Legal business name

ROGUE VALLEY FOOT CLINIC P.C.

Practice address

2655 Siskiyou Blvd
Medford, OR 97504-8125

Phone

(541) 773-3338

Fax

(541) 772-9526

NPI assigned

Jan 24, 2007

Last updated

Feb 9, 2010By 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

Dr. Patrick Theodore Code, DPMNPI 1902951486

Title

Ceo

Phone

(541) 773-3338

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Patrick Theodore Code, DPM

  • Podiatrist
  • Medford, OR
  • NPI 1902951486
  Authorized official Same address or phone

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1437204930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 SISKIYOU BLVD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048125",
            "telephone_number": "541-773-3338",
            "fax_number": "541-772-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 SISKIYOU BLVD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048125",
            "telephone_number": "541-773-3338",
            "fax_number": "541-772-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGUE VALLEY FOOT CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "CODE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-773-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OR",
            "license": "DP002200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034947",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rogue Valley Dental Center
• Rogue Valley Dental Center LLC
• Rogue Valley Doulas, LLC
• Rogue Valley Family Dentistry Medford LLC
• Rogue Valley Family Practice, PC
• Rogue Valley Health & Wellness LLC
• Rogue Valley in Home Care Inc.
• Rogue Valley Manor (Rogue Valley Manor Pharmacy)
• Rogue Valley Manor
• Rogue Valley Manor, Inc

• Primary Podiatric Medicine Podiatrist in Medford, OR
• Providers in Medford, OR by specialty
• Primary Podiatric Medicine Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.