GRESHAM PODIATRY CENTER, LLC
NPI 1891742318
Podiatrist - Foot & Ankle Surgery in Gresham, OR
- Organization
- Podiatrist
- Foot & Ankle Surgery
About GRESHAM PODIATRY CENTER, LLC
This page provides the complete NPI Profile along with additional information for Gresham Podiatry Center, Llc, a provider established in Gresham, Oregon operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1891742318 assigned on May 2006. The practitioner's primary taxonomy code is 213ES0103X with license number 307 (OR). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Derek John Mccammon D.p.m. (Owner)
- NPI
- 1891742318 Verify this NPI
- Provider Name
- GRESHAM PODIATRY CENTER, LLC
- Entity Type
- Organization
- Location Address
- 831 NW COUNCIL DR SUITE #203 GRESHAM, OR 97030
- Location Phone
- (503) 667-6600
- Location Fax
- (503) 667-6608
- Mailing Address
- 831 NW COUNCIL DR SUITE #203 GRESHAM, OR 97030
- Mailing Phone
- (503) 667-6600
- Mailing Fax
- (503) 667-6608
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-28-2006
- Last Update Date
- 04-02-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- 307
- License State
- OR
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1891742318 | OTHER (01) | OR | GROUP NPI |
| U76208 | MEDICARE UPIN (02) | OR | |
| 3897300001 | MEDICARE NSC (07) | OR | |
| R107949 | MEDICARE ID-TYPE UNSPECIFIED (04) | OR | GROUP MEDICARE ID NUMBER |
Reviews for GRESHAM PODIATRY CENTER, LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
GRESHAM, OR 97030
GRESHAM, OR 97030
GRESHAM, OR 97030
GRESHAM, OR 97030
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891742318, enumerated as an "organization" on May 28, 2006.
The provider is located at 831 NW COUNCIL DR SUITE #203 GRESHAM, OR 97030 and the phone number is (503) 667-6600.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
