WESTSIDE PODIATRY CLINIC LLC
NPI 1427164516
Podiatrist in Tigard, OR

NPI Status: Active since August 22, 2006

Contact Information

9900 SW HALL BLVD
SUIT 100
TIGARD, OR
ZIP 97223
Phone: (503) 245-2420
Fax: (503) 245-2445

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  • Organization
  • Podiatrist

About WESTSIDE PODIATRY CLINIC LLC

This page provides the complete NPI Profile along with additional information for Westside Podiatry Clinic Llc, a provider established in Tigard, Oregon operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1427164516 assigned on August 2006. The practitioner's primary taxonomy code is 213E00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Jason R Surratt Dpm (Owner)

NPI
1427164516
Provider Name
WESTSIDE PODIATRY CLINIC LLC
Entity Type
Organization
Location Address
9900 SW HALL BLVD SUIT 100 TIGARD, OR 97223
Location Phone
(503) 245-2420
Location Fax
(503) 245-2445
Mailing Address
9900 SW HALL BLVD SUIT 100 TIGARD, OR 97223
Mailing Phone
(503) 245-2420
Mailing Fax
(503) 245-2445
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-22-2006
Last Update Date
07-21-2010
Code Navigator

A podiatrist like Westside Podiatry Clinic Llc provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

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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

Taxonomy Code
213E00000X
Type
Podiatric Medicine & Surgery Service Providers
Taxonomy Description
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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JASON R SURRATT DPM

Authorized Official Title
OWNER
Authorized Official Phone
(503) 245-2420

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
117798MEDICARE ID-TYPE UNSPECIFIED (04) 
5016770001MEDICARE NSC (07)OR 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427164516
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
244726852
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 2 + 6 + 8 + 5 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1427164516 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154338275 YAMA AHMAD DEHQANZADA D.P.M.
Individual
Podiatrist (Foot & Ankle Surgery)9900 SW HALL BLVD SUITE 100
TIGARD, OR 97223
(503) 245-2420
1649386541 JASON RAY SURRATT DPM
Individual
Podiatrist9900 SW HALL BLVD SUITE 100
TIGARD, OR 97223
(503) 245-2420
1710055322DR. DANIEL KEITH MANGUM DO
Individual
Internal Medicine9900 SW HALL BLVD #200
TIGARD, OR 97223
(503) 293-1515
1336208388DR. MILTON LOUIS BLETTEL MD
Individual
Internal Medicine9900 SW HALL BLVD #200
TIGARD, OR 97223
(503) 293-1515
1578633616ADVANTAGE MEDICAL GROUP LLP
Organization
Internal Medicine9900 SW HALL BLVD #200
TIGARD, OR 97223
(503) 293-1515
1518195742OREGON MEDICAL EVALUATIONS, INC.
Organization
Case Management9900 SW HALL BLVD
PORTLAND, OR 97223
(503) 684-3988

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427164516, enumerated in the NPI registry as an "organization" on August 22, 2006

The provider is located at 9900 Sw Hall Blvd Suit 100 Tigard, Or 97223 and the phone number is (503) 245-2420

This medical organization specializes in Podiatrist with taxonomy code 213E00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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