Individual provider Active NPI

Philip Francis McKinney, DPM

  • Foot & Ankle Surgery Podiatrist
  • Eugene, OR
National Provider Identifier
1619047206
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
176 Issued in OR
Practice address
2893 Oak St
Eugene, OR 97405-3694
Phone
(541) 344-7158
Fax
(541) 344-8170
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 176 OR Primary

Addresses

Primary practice location

2893 Oak St
Eugene, OR 97405-3694

Mailing address

2893 Oak St
Eugene, OR 97405-3694
Phone (541) 344-7158

Other identifiers 1

IdentifierTypeStateIssuer
213652MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080527000271 OR Practitioner - Podiatry 0446329874 Practice locations: Eugene, OR

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2201 Willamette St
Suite D
Eugene, OR 97405-3091
Phone (541) 344-7158

Hospital & facility affiliations

  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue73
Removal of skin lesions1-10
Removal of nail tissue218
Removal or shaving of skin growth146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
176ORMDFoot & Ankle Surgery Podiatrist

Interoperability endpoints

  • Direct secure messaging: pfmckinn@yourcarecommunity.org

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619047206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2893 OAK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053694",
            "telephone_number": "541-344-7158",
            "fax_number": "541-344-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2893 OAK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053694",
            "telephone_number": "541-344-7158",
            "fax_number": "541-344-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "PHILIP",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213652",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.