Klamath Falls Foot and Ankle LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

KLAMATH FALLS FOOT AND ANKLE LLC

Practice address

2300 Clairmont Dr Ste a
Klamath Falls, OR 97601-1136

Phone

(541) 850-6463

NPI assigned

Apr 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeff Merrill, DPMNPI 1164738985

Title

Owner

Phone

(541) 850-6463

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

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

• Jeff T Merrill, DPM

  • Foot & Ankle Surgery Podiatrist
  • Klamath Falls, OR
  • NPI 1164738985

  Foot & Ankle Surgery, OR

  Medicare reassignment NPD Authorized official
• Ross Albert Leonard, D.P.M.

  • Podiatrist
  • Klamath Falls, OR
  • NPI 1245280379
  NPD (past)

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1881038024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CLAIRMONT DR STE A",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CLAIRMONT DR STE A",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011136",
            "telephone_number": "541-850-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH FALLS FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-850-6463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Klamath Falls City Schools
• Klamath Falls City Schools-Early Childhood Intervention
• Klamath Falls MSL LLC
• Klamath Health Partnership Inc
• Klamath Health Partnership Inc
• Klamath Health Partnership Inc
• Klamath Health Partnership Inc

• All providers in Klamath Falls, OR
• Foot & Ankle Surgery Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.