Individual provider Active NPI

Thuy-Trang Lam, DPM

  • Foot Surgery Podiatrist
  • Clackamas, OR
National Provider Identifier
1649481888
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
DP00267 Issued in OR
Practice address
8800 SE Sunnyside Rd # 105N
Clackamas, OR 97015-5738
Phone
(503) 652-9671
NPI assigned
May 26, 2007
Last updated
Feb 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DP00267 OR
Foot Surgery Podiatrist 213ES0131X DP00267 OR Primary

Addresses

Primary practice location

8800 SE Sunnyside Rd # 105N
Clackamas, OR 97015-5738

Mailing address

8800 SE Sunnyside Rd Ste 105N
Clackamas, OR 97015-5704
Phone (503) 652-9671

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
I20060126000943 OR Practitioner - Podiatry 2668486804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8800 SE Sunnyside Rd
Suite 105N
Clackamas, OR 97015-5704
Phone (503) 652-9671

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00267ORMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clackamas Foot & Ankle Clinic, Inc. Podiatrist CurrentSince Apr 1, 2005 Accepting new patients
Clackamas Foot & Ankle Clinic PastSince Jan 1, 1990 Accepting new patients

Locations

8800 SE Sunnyside Rd
#105N
Clackamas, OR 97015
Phone (503) 652-9671

8800 SE Sunnyside Rd
Ste 105N
Clackamas, OR 97015
Phone (503) 652-9671

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1649481888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD STE 105N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155704",
            "telephone_number": "503-652-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD # 105N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155738",
            "telephone_number": "503-652-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "THUY-TRANG",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-26",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00267",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OR",
            "license": "DP00267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

Verify at the official NPI Registry.