Bridge City Foot & Ankle LLC

Address: 1720 Sw Huntington Ave, Portland, OR 97225-4752
Phone: 5038054720

Bridge City Foot & Ankle LLC (NPI# 1669074316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1669074316
Entity Type Organization
Practice Address 1720 Sw Huntington Ave
OR 97225-4752
Practice Telephone 5038054720
Mailing Address 1720 Sw Huntington Ave
OR 97225-4752
Mailing Telephone 5038054720
Authorized Official Name Peter Stach (OWNER/PODIATRIC PHYSICIAN)
Authorized Official Telephone 5038054720
Authorized Official Credential DPM
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-11-09
Last Update Date 2020-11-09

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1992942064 Lester Tengsico LLC Podiatrist 10424 Se Cherry Blossom Dr Ste F, Portland, OR 97216-2825 2009-01-12
1538339395 Joseph Michael Mozena Podiatrist 2227 Ne Hancock St, Portland, OR 97212-4873 2008-03-08
1245443100 Daniel L Nusser Podiatrist 2809 Ne Broadway, Portland, OR 97232 2007-05-08
1114048667 Dr John D Mozena Dpm PC Podiatrist 8305 Se Monterey Ave Ste 101, Portland, OR 97266-7728 2007-04-03
1124116231 Ray A Mcclanahan Podiatrist 725 Nw 19th Ave, Portland, OR 97209 2006-10-11
1942392113 John M Barnes Podiatrist 506 Ne 49th Ave, Portland, OR 97213-2928 2006-09-28
1427150028 Christopher S. Seuferling Dpm PC Podiatrist 7940 Se Division St, Suite E, Portland, OR 97206-1046 2006-09-03
Find all providers in PORTLAND

Office Location

Street Address 1720 SW HUNTINGTON AVE
State OR
Zip Code 97225-4752

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508425034 Gabrielle Gonzales Behavior Technician 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 2019-06-08
1558844555 Tate Roseberry Behavior Technician 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 2018-09-14
1982186300 Dean Alan Hopkins Registered Nurse 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 2018-09-01
1316449168 Surgery Center At St. Vincent, LLC Clinic/Center 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 2018-03-07
1730606716 Meghan Louise Lacy Pediatrics 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 2017-08-29
1841733433 Tia Pugh Occupational Therapist 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 2016-11-30
1295185585 Stephanie Lynn Hart Nurse Practitioner 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 2016-06-16
1962866244 Bejian Shamloo Chiropractor 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 2016-04-12
1992162630 Robert Joseph Yoder Psychologist 9045 Barnes Rd, Portland, OR 97225 2016-01-26
1316303951 Katie Herold Chiropractor 9315 Sw Morrison St, Portland, OR 97225 2016-01-12
Find all providers in zip 97225


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Zip Code 97225

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Dataset Information

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.