Podiatry Care Center of Ontario, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DP00359 Issued in OR

Legal business name

PODIATRY CARE CENTER OF ONTARIO, LLC

Doing business as

Podiatry Services of Idaho

Practice address

2449 SW 4TH Ave
Ste 203
Ontario, OR 97914-1859

Phone

(541) 889-8637

Fax

(541) 889-4736

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Camille Elizabeth Harris, DPMNPI 1538164108

Title

Ceo

Phone

(208) 463-7732

Specialties & licenses 1

Addresses

Other names 1

• Podiatry Services of Idaho Doing business as

Locations

Practitioners 1

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

• Camille Elizabeth Harris, DPM

  • Podiatrist
  • Caldwell, ID
  • NPI 1538164108
  NPD Authorized official

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780713552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 W BONNEVILLE CT",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836869749",
            "telephone_number": "208-463-7732",
            "fax_number": "541-889-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 SW 4TH AVE",
            "address_2": "STE 203",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979141859",
            "telephone_number": "541-889-8637",
            "fax_number": "541-889-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY CARE CENTER OF ONTARIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-463-7732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Podiatry Services of Idaho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey C Pitts, MD
• Planned Parenthood of the Columbia/Willamette, Inc.
• Helen Kyong Plaza
• Brandon Plumb
• Patrick Martin Plummer, M.D.
• Judith Poirot, LCSW
• Keely Dawn Ponce
• Barbara Powers
• Jesse Zeline Prentiss, LMT
• Presbyterian Nursing Home

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.