Active NPI
Redwood Podiatry Group Inc
- Foot & Ankle Surgery Podiatrist
- Eureka, CA
National Provider Identifier
1639465206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- REDWOOD PODIATRY GROUP INC
- Practice address
- 3258 Timber Fall CT
Eureka, CA 95503-4888 - Phone
- (707) 441-1112
- Fax
- (707) 441-1711
- NPI assigned
- Jun 22, 2011
- Last updated
- Jun 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philip Alway, DPM
- Title
- DPM
- Phone
- (707) 441-1112
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
3258 Timber Fall CT
Eureka, CA 95503-4888
Mailing address
3258 Timber Fall CT
Eureka, CA 95503-4888
Phone (707) 441-1112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Podiatrist
- Eureka, CA
- NPI 1427087287
-
- Podiatrist
- Eureka, CA
- NPI 1740229277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308700800000",
"number": "1639465206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3258 TIMBER FALL CT",
"city": "EUREKA",
"state": "CA",
"postal_code": "955034888",
"telephone_number": "707-441-1112",
"fax_number": "707-441-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3258 TIMBER FALL CT",
"city": "EUREKA",
"state": "CA",
"postal_code": "955034888",
"telephone_number": "707-441-1112",
"fax_number": "707-441-1711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDWOOD PODIATRY GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-22",
"last_updated": "2011-06-22",
"status": "A",
"authorized_official_last_name": "ALWAY",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "DPM",
"authorized_official_telephone_number": "707-441-1112",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.