Corrective Step Foot Health Center

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

DP161832 Issued in OR

Legal business name

CORRECTIVE STEP FOOT HEALTH CENTER

Practice address

11515 SW Durham Rd
E1
Tigard, OR 97224-3476

Phone

(503) 624-0364

Fax

(503) 684-3306

NPI assigned

Nov 6, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ejiro C Isiorho, DPMNPI 1255650750

Title

Owner

Phone

(503) 624-0364

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Ejiro C Isiorho, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tigard, OR
  • NPI 1255650750
  Medicare reassignment NPD Authorized official
• Alan Francis Rothstein, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tigard, OR
  • NPI 1831177971
  NPD (past)

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1679979397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11515 SW DURHAM RD",
            "address_2": "E1",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243476",
            "telephone_number": "503-624-0364",
            "fax_number": "503-684-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 SW DURHAM RD",
            "address_2": "E1",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243476",
            "telephone_number": "503-624-0364",
            "fax_number": "503-684-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIVE STEP FOOT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "ISIORHO",
        "authorized_official_first_name": "EJIRO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-624-0364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP161832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Tigard, OR
• Providers in Tigard, OR by specialty
• Foot & Ankle Surgery Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.