DR. RICHARD PEFFLEY II (NPI# 1386641231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386641231 |
| Entity Type | Individual |
| Full Name | DR. RICHARD PEFFLEY II |
| Credential | D.P.M. |
| Practice Address |
350 Miller St Se Salem OR 97302-4248 |
| Practice Telephone | 5033708784 |
| Practice Fax Number | 5033624017 |
| Mailing Telephone | 5033708784 |
| Mailing Fax Number | 5033624017 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-07-09 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
DP00219 | OR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 065941 | 05 | |
| OR | ODS PIN | 953534163 | 01 |
| OR | MAILHANDLERS PIN | 9535341630000E | 01 |
| OR | WPS TRICARE CLAIMS PIN | 0001 | 01 |
| OR | RAILROAD RETIREMENT PIN | 480018560 | 01 |
| OR | REGENCE BLUECROSS BLUESHI | 054437000 | 01 |
| OR | PACIFIC SOURCE PIN | V242001 | 01 |
| OR | HEALTH NET PIN | DP4Z290 | 01 |
| OR | PALMENTO GBA | 480018560 | 01 |
| OR | TRICARE NORTHWEST PIN | 9535341630000 | 01 |
| OR | PROVIDENCE HEALTH PIN | 305976 | 01 |
| OR | UHC PIN | 953534163002 | 01 |
| OR | DMERC PIN | 1148590001 | 01 |
| Street Address |
350 MILLER ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-4248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578077954 | Liberty Spine & Pain Center, P.C. | Pain Medicine | 350 Miller St Se, Salem, OR 97302-4272 | 2017-11-21 |
| 1972890812 | Scott Berg | Podiatrist | 350 Miller St Se, Salem, OR 97302-4272 | 2011-06-29 |
| 1205065893 | Daniel Anders Arrhenius | Podiatrist | 350 Miller St Se, Salem, OR 97302-4272 | 2009-07-06 |
| 1346213832 | Richard W. Peffley, Dpm, A | Podiatrist | 350 Miller St Se, Salem, OR 97302-4248 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497918585 | Robert Tyson Scott | Podiatrist | 800 Liberty St Se, Salem, OR 97302 | 2008-07-08 |
| 1952589996 | Brooke Robert Beckmann | Podiatrist | 3760 Market St Ne # 105, Salem, OR 97301-1826 | 2008-02-01 |
| 1407933732 | Podiatric Healthcare, P.C. | Podiatrist | 9 Warren Ct, Salem, MA 01970-3163 | 2006-11-01 |
| 1932213899 | Gregory M Van Ess | Podiatrist | 9 Warren Court, Salem, MA 01970-3168 | 2006-08-18 |
| 1720643018 | Salem Foot & Ankle Specialists Inc | Podiatrist | 1934 Braeburn Dr, Salem, VA 24153-7302 | 2019-05-02 |
| 1548790637 | Karen Elaine Uchmanowicz | Podiatrist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2017-06-13 |
| 1114323516 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2380 Southeast Blvd, Salem, OH 44460-3476 | 2014-11-12 |
| 1477969806 | Jeremy Brouillette | Podiatrist | 1970 Roanoke Blvd, Bldg 143, Podiatry Department, Salem, VA 24153-6404 | 2014-07-07 |
| 1962745836 | Lee J. Poston | Podiatrist | 3474 Liberty Rd S, Salem, OR 97302-4607 | 2013-03-29 |
| 1972890812 | Scott Berg | Podiatrist | 350 Miller St Se, Salem, OR 97302-4272 | 2011-06-29 |
| Find all providers in SALEM | ||||
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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.