Central Oregon Foot & Ankle Group, Inc.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

DP00439 Issued in OR

Legal business name

CENTRAL OREGON FOOT & ANKLE GROUP, INC.

Practice address

1693 SW Chandler Ave Ste 280
Bend, OR 97702-3231

Phone

(541) 728-0858

Fax

(844) 622-7945

NPI assigned

Jul 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Amanda K Westfall, DPM

Title

Podiatry

Phone

(541) 728-0858

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Central Oregon Foot & Ankle Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 3

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

• Amanda Westfall McCarty, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bend, OR
  • NPI 1063630929
  Medicare reassignment NPD
• Kristy R Six, DPM

  • Podiatrist
  • Bend, OR
  • NPI 1699928168
  Medicare reassignment NPD
• Noelle Bruno, MSW

  • Social Worker
  • Bend, OR
  • NPI 1114419603
  NPD (past)

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1669857181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1693 SW CHANDLER AVE STE 280",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023231",
            "telephone_number": "541-728-0858",
            "fax_number": "844-622-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1693 SW CHANDLER AVE STE 280",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023231",
            "telephone_number": "541-728-0858",
            "fax_number": "844-622-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OREGON FOOT & ANKLE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "WESTFALL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PODIATRY",
        "authorized_official_telephone_number": "541-728-0858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OR",
            "license": "DP125967",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OR",
            "license": "DP00439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R142443",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026196",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50061912",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R149663",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Oregon Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Oregon Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Oregon Counseling LLC
• Central Oregon Dermatology, PC
• Central Oregon Emergency Physicians LLC
• Central Oregon ENT LLC - Ear Nose Throat and Facial Plastic Surgey
• Central Oregon Eyecare, PC
• Central Oregon Hearing Aid Consultants LLC
• Central Oregon Hearing AIDS LLC
• Central Oregon Hospice
• Central Oregon Intergovernmental Council (Coic)
• Central Oregon Internal Medicine LLC

• Foot Surgery Podiatrist in Bend, OR
• Providers in Bend, OR by specialty
• Foot Surgery Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.