Active NPI
Roseburg Foot & Ankle Specialists, P.C.
- Podiatrist
- Roseburg, OR
National Provider Identifier
1851622153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 273
- Legal business name
- ROSEBURG FOOT & ANKLE SPECIALISTS, P.C.
- Practice address
- 1813 W Harvard Ave Ste 542
Roseburg, OR 97471-2779 - Phone
- (541) 673-7322
- Fax
- (541) 673-3615
- NPI assigned
- Jan 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie Karpontinis
- Title
- Office Administrator
- Phone
- (541) 673-7322
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 273 | OR | Primary |
Addresses
Primary practice location
1813 W Harvard Ave Ste 542
Roseburg, OR 97471-2779
Mailing address
1813 W Harvard Ave Ste 542
Roseburg, OR 97471-2779
Phone (541) 673-7322
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4307932-00 | Other | REGENCE MEDADVANTAGE | |
| 500635904 | Medicaid | OR | |
| 0586980-00 | Other | REGENCE BLUE CROSS | |
| 273 | Other | OR | OREGON LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1813 W Harvard Ave
Ste 542
Roseburg, OR 97471
Phone (541) 440-5222
2300 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-7322
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Roseburg, OR
- NPI 1972025450
-
- Podiatrist
- Roseburg, OR
- NPI 1720491046
-
- Foot & Ankle Surgery Podiatrist
- Roseburg, OR
- NPI 1437333945
-
- Foot & Ankle Surgery Podiatrist
- Coos Bay, OR
- NPI 1528641412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738800000000",
"number": "1851622153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 W HARVARD AVE STE 542",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974712779",
"telephone_number": "541-673-7322",
"fax_number": "541-673-3615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 W HARVARD AVE STE 542",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974712779",
"telephone_number": "541-673-7322",
"fax_number": "541-673-3615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSEBURG FOOT & ANKLE SPECIALISTS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-26",
"last_updated": "2025-02-06",
"certification_date": "2025-01-08",
"status": "A",
"authorized_official_last_name": "KARPONTINIS",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "541-673-7322"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "OR",
"license": "273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE MEDADVANTAGE",
"identifier": "4307932-00",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500635904",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE CROSS",
"identifier": "0586980-00",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON LICENSE NUMBER",
"identifier": "273",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.