Individual provider Active NPI

Toddrick Lamont Tookes, DPM

  • Foot & Ankle Surgery Podiatrist
  • Longview, WA
National Provider Identifier
1780976373
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001168 Issued in GA
Practice address
783 Commerce Avenue
Ste 120
Longview, WA 98632
Phone
(360) 575-9161
Fax
(360) 575-9306
NPI assigned
May 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD001168 GA
Primary Podiatric Medicine Podiatrist 213EP1101X POD001168 GA
Foot & Ankle Surgery Podiatrist 213ES0103X POD001168 GA Primary

Addresses

Primary practice location

783 Commerce Avenue
Ste 120
Longview, WA 98632

Mailing address

PO Box 1338
Longview, WA 98632
Phone (360) 423-9580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200217000888 WA Practitioner - Podiatry 6103094677 Reassigns benefits to 2 organizations
I20250218001366 OR Practitioner - Podiatry 6103094677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaiser Foundation Health Plan of the NorthwestGroup PAC ID 5799688230, 1,805 clinicians
Kirkpatrick Family Care, PSGroup PAC ID 3375536436, 13 clinicians

Practice addresses (Care Compare)

10100 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

1706 Washington Way
Longview, WA 98632-2952
Phone (360) 423-9580

203 SE Park Plaza Dr
Suite 140
Vancouver, WA 98684-5887
Phone (800) 813-2000

2875 NE Stucki Ave
Hillsboro, OR 97124-5806
Phone (800) 813-2000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue50
Removal of nail tissue423
Removal or shaving of skin growth62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001168GAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Nov 6, 2023 Accepting new patients
Kirkpatrick Family Care, PS CurrentSince Feb 1, 2020 Accepting new patients
Kirkpatrick Family Care, PS Podiatrist CurrentSince Feb 1, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Nov 6, 2023 Accepting new patients
Peach State Surgical Centers, Inc Podiatrist Past Accepting new patients

Locations

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

500 NE Multnomah St
Ste 100
Portland, OR 97232
Phone (503) 499-5200

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

783 Commerce Ave
Ste 120
Longview, WA 98632
Phone (360) 575-6161

1706 Washington Way
Longview, WA 98632
Phone (360) 423-9580

203 SE Park Plaza Dr
Ste 140
Vancouver, WA 98684
Phone (360) 449-7002

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1780976373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1338",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-423-9580",
            "fax_number": "360-423-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 COMMERCE AVENUE",
            "address_2": "STE 120",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-575-9161",
            "fax_number": "360-575-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOKES",
        "first_name": "TODDRICK",
        "middle_name": "LAMONT",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-13",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001168",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "GA",
            "license": "POD001168",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

Verify at the official NPI Registry.