NPIMap

Organization Active NPI

Camas Foot and Ankle PLLC

  • Podiatrist
  • Vancouver, WA
National Provider Identifier
1437426145
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO00000795 Issued in WA
Legal business name
CAMAS FOOT AND ANKLE PLLC
Practice address
16701 SE McGillivray Blvd Ste 220
Vancouver, WA 98683-3462
Phone
(360) 834-3707
Fax
(360) 834-3569
NPI assigned
Nov 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Authorized official

Name
Stephen M Hayes, DPMNPI 1548254329
Title
Owner
Phone
(503) 244-7894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO00000795 WA Primary

Addresses

Primary practice location

16701 SE McGillivray Blvd Ste 220
Vancouver, WA 98683-3462

Mailing address

16701 SE McGillivray Blvd Ste 220
Vancouver, WA 98683-3462
Phone (360) 834-3707

Other names 1

  • Vancouver Foot and Ankle PLLC East Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120710000691 WA Part B Supplier - Clinic/Group Practice 3779748173 Receives reassigned benefits from 3 practitioners
Practice locations: Vancouver, WA
O20130315000126 WA DME Supplier - Physician - Podiatry 3779748173 Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Locations

1710 W Main St
Ste 221
Battle Ground, WA 98604
Phone (360) 687-3668

532 NE 3rd Ave
Ste 102
Camas, WA 98607
Phone (360) 834-3707

6108 NE Highway 99
Ste 107
Vancouver, WA 98665
Phone (360) 597-4223

16701 SE McGillivray Blvd
Ste 220
Vancouver, WA 98683
Phone (360) 834-3701

Practitioners & affiliated clinicians

Practitioners 4

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": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1437426145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16701 SE MCGILLIVRAY BLVD STE 220",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986833462",
            "telephone_number": "360-834-3707",
            "fax_number": "360-834-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16701 SE MCGILLIVRAY BLVD STE 220",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986833462",
            "telephone_number": "360-834-3707",
            "fax_number": "360-834-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMAS FOOT AND ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-244-7894",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vancouver Foot and Ankle PLLC East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.