Organization Active NPI

McMinnville Foot & Ankle Associates LLC

  • Podiatrist
  • McMinnville, OR
National Provider Identifier
1932733359
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MCMINNVILLE FOOT & ANKLE ASSOCIATES LLC
Practice address
1133 SW Baker St
McMinnville, OR 97128-6830
Phone
(541) 944-3492
NPI assigned
Feb 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Adam Gerber, DPMNPI 1780029231
Title
Owner/Physician
Phone
(541) 944-3492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1133 SW Baker St
McMinnville, OR 97128-6830

Mailing address

1133 SW Baker St Ste a
McMinnville, OR 97128-6830
Phone (503) 472-3341

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200601001287 OR Part B Supplier - Clinic/Group Practice 1254752116 Receives reassigned benefits from 2 practitioners
Practice locations: McMinnville, OR
O20200623001881 OR DME Supplier - Physician - Podiatry 1254752116 Practice locations: McMinnville, OR

National Provider Directory

National Provider Directory

Locations

11815 SW King James Pl
Ste 60
Tigard, OR 97224
Phone (503) 639-8107

Practitioners & affiliated clinicians

Practitioners 2

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": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1932733359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 SW BAKER ST STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286830",
            "telephone_number": "503-472-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 SW BAKER ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286830",
            "telephone_number": "541-944-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMINNVILLE FOOT & ANKLE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "541-944-3492",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.