YAMA A DEHQANZADA DPM PC (NPI# 1215122833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215122833 |
| Entity Type | Organization |
| Organization Name | YAMA A DEHQANZADA DPM PC |
| Other Organization Name | SHERWOOD FOOT AND ANKLE CLINIC |
| Practice Address |
16770 Sw Edy Rd Suite 216 Sherwood OR 97140-9678 |
| Practice Telephone | 5039258120 |
| Practice Fax Number | 5039258121 |
| Mailing Telephone | 5039258120 |
| Mailing Fax Number | 5039258121 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |
| Authorized Official Name | DR. YAMA AHMAD DEHQANZADA (CEO/PRESIDENT) |
| Authorized Official Telephone | 5039258120 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
DP00348 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | INDIVIDUAL NPI | 1154338275 | 01 |
| Other Name | Type Code |
|---|---|
| Sherwood Foot and Ankle Clinic | Doing Business As Name - Organization |
| Street Address |
16770 SW EDY RD SUITE 216 |
| City | SHERWOOD |
| State | OR |
| Zip Code | 97140-9678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942206586 | Mamie D Diaz | Physician Assistant | 16770 Sw Edy Rd, Suite 102, Sherwood, OR 97140-9679 | 2005-06-27 |
| 1538572458 | Tonya Sartor | Physician Assistant | 16770 Sw Edy Rd, #216, Sherwood, OR 97140-9678 | 2014-06-09 |
| 1407111693 | Richa Tevatia | Pediatrics | 16770 Sw Edy Rd, Suite 102, Sherwood, OR 97140-9678 | 2012-07-12 |
| 1184986325 | Anna Meyers | Pediatrics | 16770 Sw Edy Rd, Suite 102, Sherwood, OR 97140-9678 | 2012-06-13 |
| 1881978724 | David Nathaniel Counts | Physician Assistant | 16770 Sw Edy Rd, Suite 102, Sherwood, OR 97140-9678 | 2011-10-10 |
| 1760795827 | Megan Rebecca Chaffin | Nurse Practitioner | 16770 Sw Edy Rd, Sherwood, OR 97140-9678 | 2010-07-19 |
| 1144533480 | Melissa M Sanchez | Nurse Practitioner | 16770 Sw Edy Rd, Ste 102, Sherwood, OR 97140-9678 | 2010-07-15 |
| 1013143478 | Providence Health & Services - Oregon | Clinic/Center | 16770 Sw Edy Rd, Suite 102, Sherwood, OR 97140-9679 | 2009-05-29 |
| 1477794188 | Jaime N Stewart | Physician Assistant | 16770 Sw Edy Rd, Sherwood, OR 97140-9678 | 2009-03-10 |
| 1285897009 | Alma Sophia Draper | Nurse Practitioner | 16770 Sw Edy Rd, Sherwood, OR 97140-9678 | 2008-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457902744 | Barbara Jo Morgan | Technician | 17752 Sw Inkster Dr., Sherwood, OR 97140 | 2019-09-27 |
| 1588193031 | Brett Matthew Hulbert | Student in an Organized Health Care Education/Training Program | 17193 Sw Terrapin Dr. #106, Sherwood, OR 97140 | 2017-06-08 |
| 1083157416 | Lisa Pauline Knudsen | Counselor | 20512 Sw Roy Rogers Rd, Suite 150, Sherwood, OR 97140 | 2016-12-03 |
| 1982056479 | Mari Heslinga | Dentist | 21332 Sw Langer Farms Pkwy Ste 126, Sherwood, OR 97140 | 2016-07-07 |
| 1649634668 | Sheila Johnson | Specialist | 15885 Sw Springtooth Ln, Sherwood, OR 97140 | 2016-04-06 |
| 1649640335 | Northwest Neurohealth LLC | Clinical Neuropsychologist | 501 N. Villa Road, Newberg, OR 97140 | 2015-10-07 |
| 1366841785 | Tae Yoon | Pharmacist | 21320 Sw Langer Farms Parkway, Sherwood, OR 97140 | 2014-08-21 |
| 1396155701 | Wal-mart Stores, Inc | Technician/Technologist | 21320 Sw Langer Farm, Sherwood, OR 97140 | 2014-05-07 |
| 1588916662 | Stacey Lynn Ritala | Dental Hygienist | 15962 Sw Tualatin-sherwood Rd., Sherwood, OR 97140 | 2012-10-12 |
| 1518219310 | Peggy Ann Lewelling | Dental Hygienist | 15962 Sw Tualatin-sherwood Rd, Sherwood, OR 97140 | 2012-10-04 |
| Find all providers in zip 97140 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386070464 | Robert W Geister and Associates Inc | Clinic/Center | 39400 Pioneer Blvd, Suite 4, Sandy, OR 97055-8000 | 2013-09-19 |
| 1649448804 | Eugene Podiatry Associates PC | Clinic/Center | 1060 Chambers St., Eugene, OR 97402 | 2008-02-11 |
| 1508967886 | Medford Foot & Ankle Clinic, PC | Clinic/Center | 713 Golf View Drive, Medford, OR 97504-9643 | 2006-09-26 |
| 1639158611 | Willamette Valley Foot & Ankle Center PC | Clinic/Center | 212 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2006-01-10 |
| 1912413147 | Santiam Memorial Hospital | Clinic/Center | 1369 N 10th Ave, Stayton, OR 97383 | 2017-12-26 |
| 1659638872 | R Tyson Scott Dpm LLC | Clinic/Center | 800 Liberty St Se, Salem, OR 97302 | 2012-04-12 |
| 1851557607 | Ankle and Foot Clinic of Oregon | Clinic/Center | 5528 Se Powell Blvd, Portland, OR 97206-2956 | 2008-07-31 |
| 1093993453 | Lyndon G Johansen Dpm PC | Clinic/Center | 12658 Se Stark St, Portland, OR 97233-1058 | 2008-02-07 |
| 1518945922 | Oregon City Foot Clinic, PC | Clinic/Center | 1510 Division St, Suite 80, Oregon City, OR 97045-1581 | 2006-01-05 |
Please comment or provide details below to improve the information on YAMA A DEHQANZADA DPM PC.
| 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.