TRI- CITY PODIATRIC PHYSICIANS & SURGEONS LTD
NPI 1821129792
Podiatrist in Bandon, OR

Active since March 09, 2007
1450 POLARIS LN SW, BANDON, OR 97411(541) 347-8283(541) 347-3632 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tri- City Podiatric Physicians & Surgeons Ltd NPPES

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

TRI- CITY PODIATRIC PHYSICIANS & SURGEONS LTD (NPI 1821129792) is a healthcare organization registered as a podiatrist in Bandon, Oregon and active in the NPI registry since March 2007. The organization lists Andi Dimaggio, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1821129792
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameTRI- CITY PODIATRIC PHYSICIANS & SURGEONS LTD
Location Address1450 POLARIS LN SWBandon, OR 97411-8816
Mailing Address1450 Polaris Ln SwBandon, OR 97411-8816 · (541) 347-8283 · Fax (541) 347-3632
Fax(541) 347-3632
Organization SubpartNo
Authorized OfficialAndi DimaggioOffice Manager · (541) 347-8283
Enumeration DateMarch 9, 2007
Last NPPES UpdateMay 15, 2008
NPI 1821129792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1450 POLARIS LN SW, Bandon, OR 97411

Other Identifiers 3

Medicare PINR140862OR
Other480014636OR · Railroad Medicare
Medicare NSC0979430002OR

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

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 Tri- City Podiatric Physicians & Surgeons Ltd's NPI number?

The NPI number for Tri- City Podiatric Physicians & Surgeons Ltd is 1821129792. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is Tri- City Podiatric Physicians & Surgeons Ltd located?

Tri- City Podiatric Physicians & Surgeons Ltd is located at 1450 Polaris Ln SW, Bandon, OR 97411. The listed phone number is (541) 347-8283.

What is Tri- City Podiatric Physicians & Surgeons Ltd's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Tri- City Podiatric Physicians & Surgeons Ltd was last updated on May 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.