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HERMISTON FAMILY FOOT CLINIC LLC
NPI 1710436662
Podiatrist - Foot & Ankle Surgery in Hermiston, OR

Active since October 03, 2016
1050 W ELM AVE STE 170, HERMISTON, OR 97838(541) 567-8750(541) 564-0498 Get Directions Write a Review

NPPES record last updated: October 3, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hermiston Family Foot Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERMISTON FAMILY FOOT CLINIC LLC (NPI 1710436662) is a healthcare organization registered as a foot & ankle surgery in Hermiston, Oregon and active in the NPI registry since October 2016. The organization lists Donald J Carlson, Owner, as its authorized official.

NPPES Registry Identity

NPI1710436662
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameHERMISTON FAMILY FOOT CLINIC LLC
Location Address1050 W ELM AVE STE 170Hermiston, OR 97838-2715
Mailing Address1050 W Elm Ave Ste 170Hermiston, OR 97838-2715 · (541) 567-8750 · Fax (541) 564-0498
Phone(541) 567-8750
Fax(541) 564-0498
Organization SubpartNo
Authorized OfficialDonald J CarlsonOwner · (541) 567-8750
Enumeration DateOctober 3, 2016
✔ NPI 1710436662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
1050 W ELM AVE STE 170, Hermiston, OR 97838
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hermiston Family Foot Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Hermiston Family Foot Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Donald Carlson, DPM
Podiatry
NPI 1114087632
1122 W ELM AVE
Hermiston, OR 97838
(541) 289-7075
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hermiston Family Foot Clinic LLC's NPI number?

The NPI number for Hermiston Family Foot Clinic LLC is 1710436662. It was assigned to this organization in the NPPES registry on October 3, 2016.

Where is Hermiston Family Foot Clinic LLC located?

Hermiston Family Foot Clinic LLC is located at 1050 W Elm Ave Ste 170, Hermiston, OR 97838. The listed phone number is (541) 567-8750.

What is Hermiston Family Foot Clinic LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Hermiston Family Foot Clinic LLC enrolled in Medicare?

Yes. Hermiston Family Foot Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hermiston Family Foot Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Hermiston Family Foot Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hermiston Family Foot Clinic LLC was last updated on October 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.