Eugene Podiatry Associates PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DP00142 Issued in OR

Legal business name

EUGENE PODIATRY ASSOCIATES PC

Practice address

1060 Chambers St.
Eugene, OR 97402

Phone

(541) 342-3373

Fax

(541) 342-3374

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Scott W Robertson, DPM

Title

Doctor

Phone

(541) 342-3373

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rex D. Smith, DPM PC Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colby Carlson, DPM

  • Podiatrist
  • Eugene, OR
  • NPI 1932514627
  Medicare reassignment NPD
• Liang-Chieh Ko

  • Podiatrist
  • Newberg, OR
  • NPI 1417443409
  Medicare reassignment NPD
• Frank A Sheaffer, DPM

  • Podiatrist
  • Eugene, OR
  • NPI 1609179845
  Medicare reassignment NPD
• Ryan K Anderson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bountiful, UT
  • NPI 1053334730

  OR

  Medicare reassignment NPD
• Thomas H Yates

  • Foot & Ankle Surgery Podiatrist
  • Eugene, OR
  • NPI 1093360174

  Single Specialty

  NPD

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1649448804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 CHAMBERS ST.",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97402",
            "telephone_number": "541-342-3373",
            "fax_number": "541-342-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 CHAMBERS ST.",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97402",
            "telephone_number": "541-342-3373",
            "fax_number": "541-342-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE PODIATRY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "541-342-3373",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00142",
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22733-0",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jillian@eugenepodiatry.com",
            "affiliation": "N",
            "endpointDescription": "jillian email",
            "address_1": "1060 Chambers St.",
            "city": "Eugene",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rex D. Smith, DPM PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Rex D. Smith, DPM PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Eugene of Olympus, LLC
• Eugene Pediatric Associates
• Eugene Pediatric Associates LLC
• Eugene Physical Therapy at Oak Street
• Eugene Physical Therapy, LLC
• Eugene Psychological Assessments LLC
• Eugene Psychotherapy LLC
• Eugene Rehabilitation, Inc.
• Eugene Rehabilitation, LLC
• Eugene Solutions, LLC

• Podiatrist in Eugene, OR
• Providers in Eugene, OR by specialty
• Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.

Verify at the official NPI Registry.