NPIMap

Individual provider Active NPI

Patrick J Evoy, DPM

  • Podiatrist
  • Bend, OR
National Provider Identifier
1619951456
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DP00128 Issued in OR
Practice address
2408 NE Division St
Bend, OR 97701-3543
Phone
(541) 382-7521
Fax
(541) 382-6297
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DP00128 OR Primary
Sports Medicine Podiatrist 213ES0000X DP00128 OR
Foot & Ankle Surgery Podiatrist 213ES0103X DP00128 OR

Addresses

Primary practice location

2408 NE Division St
Bend, OR 97701-3543

Mailing address

61161 Ridge Falls PL
Bend, OR 97702-2324
Phone (541) 382-7521

Other identifiers 3

IdentifierTypeStateIssuer
R00WFBFKAOtherORMEDICARE
13535OtherORCLEAR CHOICE/COIHS
217489MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Foot Clinic Podiatrist PastSince Sep 30, 2024 Accepting new patients
Cascade Medical Care,LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1619951456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61161 RIDGE FALLS PL",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022324",
            "telephone_number": "541-382-7521",
            "fax_number": "541-382-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 NE DIVISION ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013543",
            "telephone_number": "541-382-7521",
            "fax_number": "541-382-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVOY",
        "first_name": "PATRICK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00128",
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "OR",
            "license": "DP00128",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP00128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "R00WFBFKA",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLEAR CHOICE/COIHS",
            "identifier": "13535",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217489",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.