Clover Podiatry PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

CLOVER PODIATRY PLLC

Practice address

405 NE 6TH Ave
Camas, WA 98607-2037

Phone

(360) 450-6644

Fax

(360) 524-7847

NPI assigned

Jul 13, 2020

Organization subpart

No

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

Authorized official

Name

Tek Manning Fish, DPMNPI 1245763127

Title

Surgeon/Owner

Phone

(360) 450-6644

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 5

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

• Tek Fish, DPM

  • Foot & Ankle Surgery Podiatrist
  • Camas, WA
  • NPI 1245763127
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffery Daniel Linscheid, DPM

  • Foot & Ankle Surgery Podiatrist
  • Vancouver, WA
  • NPI 1942843735
  Medicare reassignment Care Compare group NPD
• Douglas Brent Rutan, DPM

  • Podiatrist
  • Vancouver, WA
  • NPI 1821081613
  Medicare reassignment Care Compare group NPD
• Kasra Karamlou, DPM

  • Foot & Ankle Surgery Podiatrist
  • Vancouver, WA
  • NPI 1891431722
  Medicare reassignment Care Compare group
• Emory Barnes, DPM

  • Podiatrist
  • Southlake, TX
  • NPI 1699341727

  WA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1912525288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 NE 6TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072037",
            "telephone_number": "360-450-6644",
            "fax_number": "360-524-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NE 6TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072037",
            "telephone_number": "360-450-6644",
            "fax_number": "360-524-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "TEK",
        "authorized_official_middle_name": "MANNING",
        "authorized_official_title_or_position": "SURGEON/OWNER",
        "authorized_official_telephone_number": "360-450-6644",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2169432",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jan Chow
• City of Camas
• Katie Johnson Clark, MA, LPC, LMHC
• Karen Clifton
• Cloud Chiropractic LLC
• Coaching With Rachel LLC
• Cocks Medical.LLC
• Avery Marie Colby, ND
• Miranda Jeanette Coleman
• Columbia Family Chiropractic PS

• Foot & Ankle Surgery Podiatrist in Camas, WA
• Providers in Camas, WA by specialty
• Foot & Ankle Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.