Organization Active NPI

Roseburg Foot & Ankle Specialists, P.C.

  • Podiatrist
  • Roseburg, OR
National Provider Identifier
1851622153
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
273 Issued in OR
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

Updated by the provider on Feb 6, 2025

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4307932-00OtherREGENCE MEDADVANTAGE
500635904MedicaidOR
0586980-00OtherREGENCE BLUE CROSS
273OtherOROREGON LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100330001195 OR Part B Supplier - Clinic/Group Practice 1355477266 Receives reassigned benefits from 4 practitioners
Practice locations: Roseburg, OR
O20100930036946 OR DME Supplier - Physician - Podiatry 1355477266 Practice locations: Roseburg, OR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.