PODIATRY CARE CENTER OF ONTARIO, LLC (NPI# 1780713552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780713552 |
| Entity Type | Organization |
| Organization Name | PODIATRY CARE CENTER OF ONTARIO, LLC |
| Other Organization Name | PODIATRY SERVICES OF IDAHO |
| Practice Address |
2449 Sw 4th Ave Ste 203 Ontario OR 97914-1859 |
| Mailing Address |
1511 W Bonneville Ct Nampa ID 83686-9749 |
| Practice Telephone | 5418898637 |
| Practice Fax Number | 5418894736 |
| Mailing Telephone | 2084637732 |
| Mailing Fax Number | 5418894736 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CAMILLE ELIZABETH HARRIS (CEO) |
| Authorized Official Telephone | 2084637732 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | DP00359 | OR | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Podiatry Services of Idaho | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PODIATRY CARE CENTER OF ONTARIO, LLC | 984 W Idaho Ave, Ontario, OR 97914 |
| Street Address |
2449 SW 4TH AVE STE 203 |
| City | ONTARIO |
| State | OR |
| Zip Code | 97914-1859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
| 1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
| 1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
| 1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
| 1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
| 1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
| 1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
| 1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
| Find all providers in zip 97914 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770646812 | Thomas Jin Tanaka | Podiatrist | 2295 S. Vineyard Ave., Bldg. D, Ontario, CA 91761 | 2006-12-19 |
| 1407808348 | Thomas J Magrann IIi | Podiatrist | 728 N Euclid Ave, Ontario, CA 91762 | 2006-05-17 |
| 1568825958 | Johnny Chong Huang | Podiatrist | 728 N Euclid Ave, Ontario, CA 91762-2712 | 2016-04-01 |
| 1104220102 | Jonathan Kim | Podiatrist | 728 N Euclid Ave, Ontario, CA 91762 | 2014-10-20 |
| 1093034159 | Saint Alphonsus Medical Center - Ontario, Inc. | Podiatrist | 1050 Sw 3rd Ave, Ste 3200, Ontario, OR 97914-2193 | 2010-05-27 |
| 1235332396 | Family Foot Center Podiatry Group Inc. | Podiatrist | 728 N Euclid Ave, Ontario, CA 91762 | 2007-06-07 |
| 1245335504 | Nuzhat Farzana Waheed | Podiatrist | 2234 S Euclid Ave, Suite E, Ontario, CA 91762-6501 | 2006-09-13 |
| 1275586919 | Brad A Katzman | Podiatrist | 728 N Euclid Ave, Ontario, CA 91762 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154869659 | Mid-columbia Medical Center | Podiatrist | 33 Nichols Pkwy, Hood River, OR 97031-3121 | 2017-02-03 |
| 1033560867 | John M Barnes Dpm LLC | Podiatrist | 9615 Nw Randall Ln, Portland, OR 97229-5294 | 2016-06-22 |
| 1619338829 | Cara Beach | Podiatrist | 9900 Sw Hall Blvd Ste 100, Portland, OR 97223-5838 | 2016-03-15 |
| 1265743090 | Nanjin Jasmine Park | Podiatrist | 5311 Sw Baird St, Portland, OR 97219-5023 | 2010-06-26 |
| 1689991804 | Cassandra Bree Tomczak | Podiatrist | 19250 Sw 65th Ave Ste 200, Tualatin, OR 97062 | 2010-04-27 |
| 1326363839 | Kessa Mauras | Podiatrist | 1100 E. Marina Way, Suite 223, Hood River, OR 97031 | 2010-03-29 |
| 1598907537 | Joshua Johnson Boone | Podiatrist | 551 Lone Prine Blvd, The Dalles, OR 97058 | 2009-04-06 |
| 1699928168 | Kristy R Six | Podiatrist | 400 Sw Bluff Dr Ste 220, Bend, OR 97702-1697 | 2008-10-28 |
| 1306093265 | Gilbert Alan Hice | Podiatrist | 953 Foots Creek Road, Gold Hill, OR 97525 | 2008-08-22 |
| 1982870382 | Debra Kaye Lynch | Podiatrist | 4905 River Road N, Keizer, OR 97303 | 2008-05-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.