Rivershore Foot and Ankle Clinic Inc.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DP00310 Issued in OR

Legal business name

RIVERSHORE FOOT AND ANKLE CLINIC INC.

Practice address

2120 Exchange St Ste 110
Astoria, OR 97103-3322

Phone

(503) 325-5655

Fax

(503) 325-1317

NPI assigned

Sep 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Nancy T Ray, DPMNPI 1942365234

Title

Owner Operator

Phone

(503) 325-5655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Tax ID family

Rivershore Foot and Ankle Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rivershore Foot & Ankle Clinic, Inc

  • Podiatrist
  • Astoria, OR
  • NPI 1972734945
  NPD tax ID

Locations

Practitioners 1

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

• Nancy Ray, MD

  • Podiatrist
  • Astoria, OR
  • NPI 1942365234
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1932358652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 EXCHANGE ST STE 110",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033322",
            "telephone_number": "503-325-5655",
            "fax_number": "503-325-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 EXCHANGE ST STE 110",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033322",
            "telephone_number": "503-325-5655",
            "fax_number": "503-325-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSHORE FOOT AND ANKLE CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "503-325-5655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Catherine Riddle, LMT
• Diana Rinkevich, MD
• Kirsten Ritchie
• Christie Marie Rivelli
• Rivershore Foot & Ankle Clinic, Inc
• Riverside Pediatrics, LLC
• Maryellen Yvonne Rizzi
• Mary Elizabeth Rizzo, RN, FNP-BC
• Robert Wayne MD Facs
• Miles David Roberts, PHARMD

• Podiatrist in Astoria, OR
• Providers in Astoria, OR by specialty
• Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.