LONGVIEW FOOT & ANKLE CLINIC (NPI# 1316032451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316032451 |
| Entity Type | Organization |
| Organization Name | LONGVIEW FOOT & ANKLE CLINIC |
| Practice Address |
783 Commerce Ave Suite 120 Longview WA 98632 |
| Mailing Address |
725 Nw 19th Ave Portland OR 97209-1301 |
| Practice Telephone | 3605759161 |
| Practice Fax Number | 3605759306 |
| Mailing Telephone | 5032432699 |
| Mailing Fax Number | 5032432698 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-03-26 |
| Authorized Official Name | RAY A MCCLANAHAN (OWNER) |
| Authorized Official Telephone | 3605759161 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | DP00317 | OR | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | PO00000596 | WA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE RIDER | MC5942 | 01 |
| WA | L&I | 129510 | 01 |
| WA | DMERC DSHS | 8397218 | 01 |
| WA | 1101682 | 05 |
| Street Address |
783 COMMERCE AVE SUITE 120 |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972932986 | Bryan David Whetton | Physician Assistant | 783 Commerce Ave, Longview, WA 98632-2450 | 2013-11-11 |
| 1952746026 | Kirkpatrick Family Care Foot and Ankle | Podiatrist | 783 Commerce Ave, Suite 120, Longview, WA 98632-2450 | 2013-05-02 |
| 1073634515 | Robin Hammon | Dietitian, Registered | 783 Commerce Ave, Longview, WA 98632-2450 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| 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 |
|---|---|---|---|---|
| 1609979145 | Karla Ann Trombello | Podiatrist | 1114 Broadway, Longview, WA 98632 | 2006-09-07 |
| 1316900376 | Bert Eagle Sharp | Podiatrist | 613 N 4th St, Longview, TX 75601-6616 | 2006-04-10 |
| 1306819032 | Billy B Westbrook | Podiatrist | 2828 4th St, Longview, TX 75605-5718 | 2006-02-13 |
| 1629064720 | John C Griffin | Podiatrist | 1106 N 6th St, Longview, TX 75601-5536 | 2005-09-23 |
| 1740273937 | Misty Dawn Baker | Podiatrist | 305 N 5th St, Longview, TX 75601-6518 | 2005-08-24 |
| 1356347637 | Selwyn Willis | Podiatrist | 609 E Whaley St, Longview, TX 75601-6526 | 2005-06-22 |
| 1538534672 | Foot Clinic of East Texas PC | Podiatrist | 305 N 5th St, Longview, TX 75601-6518 | 2015-12-01 |
| 1174952600 | East Texas Happy Feet Foot Clinic PC | Podiatrist | 305 N 5th St, Longview, TX 75601-6518 | 2013-11-05 |
| 1952746026 | Kirkpatrick Family Care Foot and Ankle | Podiatrist | 783 Commerce Ave, Suite 120, Longview, WA 98632-2450 | 2013-05-02 |
| 1902199110 | Misty Baker The Foot Doctor, PC | Podiatrist | 2840 Bill Owens Pkwy, Ste A, Longview, TX 75605-2150 | 2011-05-20 |
| Find all providers in LONGVIEW | ||||
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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.