Thomas R Palmer, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

DP00202 Issued in OR

Practice address

6108 NE Glisan St
Portland, OR 97213-3864

Phone

(503) 255-8100

Fax

(503) 255-2728

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1982647467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133864",
            "telephone_number": "503-255-8100",
            "fax_number": "503-255-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133864",
            "telephone_number": "503-255-8100",
            "fax_number": "503-255-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "THOMAS",
        "middle_name": "R",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP00202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "137490",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170446",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Edward Palmer, MD
• Marilyn Elizabeth Palmer, PH.D.
• Marissa A. Palmer, MSW, LCSW
• Reed Emory Palmer
• Shannon Elizabeth Palmer, PHARMD, BCOP
• Alice Palmeri, LMT
• Jillian Palmquist
• Joshua Paloma, D.C.
• Tyler Palosaari
• Jannae Palovich, LM, BSM, CPM

• Foot & Ankle Surgery Podiatrist in Portland, OR
• Providers in Portland, OR by specialty
• Foot & Ankle Surgery Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.