Individual provider Active NPI

Ryan Huntsman, D.P.M.

  • Podiatrist
  • Salem, OR
National Provider Identifier
1609281534
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DP217875 Issued in OR
Practice address
5125 Skyline Rd S
Salem, OR 97306-9413
Phone
(855) 248-0051
NPI assigned
Jun 30, 2014
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DP217875 OR Primary
Foot & Ankle Surgery Podiatrist 213ES0103X POD001532 GA
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003811 OH

Addresses

Primary practice location

5125 Skyline Rd S
Salem, OR 97306-9413

Mailing address

544 W Hill St
Thomson, GA 30824-2117

Other practice location 1

27100 Chardon Rd
Richmond Heights, OH 44143-1116
Phone (440) 585-6500

Other practice location 2

850 Brainard Rd
Highland Heights, OH 44143-3146
Phone (440) 473-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, OR, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221111002142 GA Practitioner - Podiatry 9638449960 Reassigns benefits to 1 organization
I20240130003523 OR Practitioner - Podiatry 9638449960 Reassigns benefits to 1 organization
I20250324002917 WA Practitioner - Podiatry 9638449960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14406 NE 20TH Ave
Vancouver, WA 98686-1448
Phone (800) 813-2000

5125 Skyline Rd S
Salem, OR 97306-9427
Phone (800) 813-2000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue27
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP217875ORMDPodiatrist
POD001532GAMDFoot & Ankle Surgery Podiatrist
36.003811OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 8, 2024 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
McDuffie Podiatry and Wound Care, PC CurrentSince Oct 1, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Dec 21, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 8, 2024 Accepting new patients

Locations

544 W Hill St
Thomson, GA 30824
Phone (706) 595-1090

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

500 NE Multnomah St
Fl 11
Portland, OR 97232

500 NE Multnomah St
Ste 100
Portland, OR 97232
Phone (503) 499-5200

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

5125 Skyline Rd S
Salem, OR 97306
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

14406 NE 20th Ave
Vancouver, WA 98686
Phone (360) 418-6001

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Interoperability endpoints

  • Direct secure messaging: rhuntsman265764@direct.ccf.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1609281534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 W HILL ST",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308242117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 SKYLINE RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069413",
            "telephone_number": "855-248-0051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27100 Chardon Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond Heights",
            "state": "OH",
            "postal_code": "441431116",
            "country_code": "US",
            "telephone_number": "440-585-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Brainard Rd",
            "address_purpose": "LOCATION",
            "city": "Highland Heights",
            "state": "OH",
            "postal_code": "441433146",
            "country_code": "US",
            "telephone_number": "440-473-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTSMAN",
        "first_name": "RYAN",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP217875",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001532",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.