NPIMap

Organization Active NPI

Hillsboro Foot & Ankle Clinic PC

Doing business as Hillsboro Foot Clinic

  • Foot & Ankle Surgery Podiatrist
  • Hillsboro, OR
National Provider Identifier
1629231089
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DP00179 Issued in OR
Legal business name
HILLSBORO FOOT & ANKLE CLINIC PC
Doing business as
Hillsboro Foot Clinic
Practice address
862 SE Oak St Ste 1a
Hillsboro, OR 97123-4240
Phone
(503) 648-2200
Fax
(503) 693-1004
NPI assigned
Jul 7, 2008
Last updated
Jan 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Elliot MichaelNPI 1679682439
Title
President
Phone
(503) 648-2200

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X DP00179 OR Primary
Foot & Ankle Surgery Podiatrist 213ES0103X DP00315 OR
Foot & Ankle Surgery Podiatrist 213ES0103X DP00244 OR

Addresses

Primary practice location

862 SE Oak St Ste 1a
Hillsboro, OR 97123-4240

Mailing address

862 SE Oak St Ste 1a
Hillsboro, OR 97123-4240
Phone (503) 648-2200

Other names 1

  • Hillsboro Foot Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

862 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-2200

862 SE Oak St
Ste 1A
Hillsboro, OR 97123
Phone (503) 648-2200

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1629231089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 SE OAK ST STE 1A",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234240",
            "telephone_number": "503-648-2200",
            "fax_number": "503-693-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 SE OAK ST STE 1A",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234240",
            "telephone_number": "503-648-2200",
            "fax_number": "503-693-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSBORO FOOT & ANKLE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-648-2200"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP00179",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP00315",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP00244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillsboro Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.